DR. ETHAN DIEU LY O.D.
NPI 1649290701
Optometrist in Franklin, TN

Active since July 20, 2006PECOS EnrolledAccepts Medicare Assignment
330 MAYFIELD DR, SUITE D2, FRANKLIN, TN 37067(615) 771-1020(615) 771-9263 Get Directions Write a Review

NPPES record last updated: October 10, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Ethan Dieu Ly O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ETHAN DIEU LY O.D. (NPI 1649290701) is an individual optometrist in Franklin, Tennessee, licensed in Tennessee (2251) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1649290701
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. ETHAN DIEU LYCredential: O.D.
Location Address330 MAYFIELD DR, SUITE D2Franklin, TN 37067-7203
Mailing Address330 Mayfield Dr, Suite D2Franklin, TN 37067-7203 · (615) 771-1020
Fax(615) 771-9263
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateJuly 20, 2006
Last NPPES UpdateOctober 10, 2007
NPI 1649290701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in TN · 2251
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

330 MAYFIELD DR, Franklin, TN 37067

Other Identifiers 4

Other2507272TN · United Healthcare
Medicare ID-Type Unspecified3946543TN · Provider #
Other2694372TN · Cigna Healthcare
Other4098341TN · Bcbs

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Ethan Dieu Ly O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153370218
PECOS Enrollment IDI20050114000876
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ct scan of cornea 92025
A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37067 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
330 MAYFIELD DR
FRANKLIN, TN 37067
Chiropractor
330 MAYFIELD DR, C7
FRANKLIN, TN 37067

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Ly's NPI number?

The NPI number for Ethan Ly is 1649290701. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Ethan Ly located?

Ethan Ly practices at 330 Mayfield Dr Suite D2, Franklin, TN 37067. The listed phone number is (615) 771-1020.

What is Ethan Ly's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Ethan Ly enrolled in Medicare?

Yes. Ethan Ly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ethan Ly accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Ethan Ly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ethan Ly was last updated on October 10, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.