1. Home
  2. Directory
  3. California
  4. Lodi
  5. Optometrist
  6. NPI Profile

DR. HIEU MINH LY O.D.
NPI 1831445352
Optometrist in Lodi, CA

Active since August 02, 2012PECOS Enrolled

NPPES record last updated: August 2, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Hieu Minh Ly O.d. NPPES

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

DR. HIEU MINH LY O.D. (NPI 1831445352) is an individual optometrist in Lodi, California, licensed in California (OPT 14480 TLG) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (2012).

NPPES Registry Identity

NPI1831445352
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. HIEU MINH LYCredential: O.D.
Location Address521 S HAM LNLodi, CA 95242-3528
Mailing Address3241 Vintage Oaks CtSan Jose, CA 95148-3825 · (916) 718-8230
Phone(209) 334-5886
Sole ProprietorYes
Medical School CMSPennsylvania College Of OptometryGraduated 2012
Enumeration DateAugust 2, 2012
✔ NPI 1831445352 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 CA · OPT 14480 TLG
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.
521 S HAM LN, Lodi, CA 95242
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Hieu Minh Ly O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8022267442
PECOS Enrollment IDI20120928000485
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Hieu Ly reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Delta Eye Medical Group, Inc.
Same address
Ophthalmology
521 S HAM LN, SUITE A
Lodi, CA 95242
  • Reassigned Medicare billing, California enrollment
  • 13 clinicians in this Medicare group
NPI 1457549123 (209) 334-5886
Rivercity Doctors Of Optometry Inc.
31 mi
Optometrist
1315 ALHAMBRA BLVD STE 310
Sacramento, CA 95816
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: River City Doctors Of Optometry Inc
  • 3 clinicians in this Medicare group
NPI 1578814430 (916) 452-2020
H Douglas Cooper MD Inc
31 mi
Ophthalmology
1220 25TH ST
Sacramento, CA 95816
  • Reassigned Medicare billing, California enrollment
  • 5 clinicians in this Medicare group
NPI 1952607418 (916) 452-4706

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
57 services46 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95242 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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 4

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

ARTEL LLC
Clinic/Center (Ambulatory Surgical)
521 S HAM LN, SUITE F
LODI, CA 95242
San Joaquin County (209) 333-0905
DELTA EYE MEDICAL GROUP, INC.
Ophthalmology
521 S HAM LN, SUITE A
LODI, CA 95242
San Joaquin County (209) 334-5886
ANDREW PHILIP CHEN M.D.
Ophthalmology
521 S HAM LN, SUITE A
LODI, CA 95242
San Joaquin County (209) 334-5886
GEORGE D CHEN M.D.
Ophthalmology
521 S HAM LN, SUITE A
LODI, CA 95242
San Joaquin County (209) 334-5886

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 Hieu Ly's NPI number?

The NPI number for Hieu Ly is 1831445352. It was assigned to this individual provider in the NPPES registry on August 2, 2012.

Where is Hieu Ly located?

Hieu Ly practices at 521 S Ham Ln, Lodi, CA 95242. The listed phone number is (209) 334-5886.

What is Hieu Ly's specialty?

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

Is Hieu Ly enrolled in Medicare?

Yes. Hieu Ly is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Hieu Ly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hieu Ly reassigns Medicare benefits to 3 organizations: Delta Eye Medical Group, Inc. (Lodi, CA), Rivercity Doctors Of Optometry Inc. (Sacramento, CA) and H Douglas Cooper MD Inc (Sacramento, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Hieu Ly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hieu Ly accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Hieu 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 Hieu Ly was last updated on August 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.