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DR. AMANDA LY OD
NPI 1902413495
Optometrist in Lancaster, CA

Active since September 28, 2020PECOS Enrolled
43927 15TH ST W, LANCASTER, CA 93534(661) 948-6310 Get Directions Write a Review

NPPES record last updated: November 30, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 30, 2020, Sep 28, 2020 (2 updates tracked since 2020).

About Dr. Amanda Ly Od NPPES

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

DR. AMANDA LY OD (NPI 1902413495) is an individual optometrist in Lancaster, California, licensed in California (OPT34702-TLG) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of University Of California - School Of Optometry (2020).

NPPES Registry Identity

NPI1902413495
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. AMANDA LYCredential: OD
Location Address43927 15TH ST WLancaster, CA 93534-4758
Mailing Address3164 Highlander RdFullerton, CA 92833-5508 · (714) 515-2571
Phone(661) 948-6310
Sole ProprietorYes
Medical School CMSUniversity Of California - School Of OptometryGraduated 2020
Enumeration DateSeptember 28, 2020
Last NPPES UpdateNovember 30, 20202 updates tracked since enumeration
NPPES CertifiedNovember 30, 2020
✔ NPI 1902413495 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 · OPT34702-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.
43927 15TH ST W, Lancaster, CA 93534
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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 Montana, Blue Cross and Blue Shield of Oklahoma 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. Amanda Ly Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133530777
PECOS Enrollment IDI20201202002995
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

2

Medicare enrollment records show Amanda Ly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fourth Optometric Care Of California
43 mi
Optometrist
20929 VENTURA BLVD STE 23
Woodland Hills, CA 91364
  • Reassigned Medicare billing, California enrollment
  • 51 clinicians in this Medicare group
NPI 1568198281 (951) 684-7822
Provider Profile
314 mi
Optometrist
3205 GRAND AVE
Oakland, CA 94610
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
NPI 1023231917 (510) 444-0666

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93534 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 5

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

JEFFREY JAY CLARK OD
Optometrist
43927 15TH ST W
LANCASTER, CA 93534
Los Angeles County (661) 948-6310
DR. MARK C MEWBORNE OD
Optometrist
43927 15TH ST W
LANCASTER, CA 93534
Los Angeles County (661) 948-6310
DR. TARA SUZANNE SHIELDS O.D.
Optometrist
43927 15TH ST W
LANCASTER, CA 93534
Los Angeles County (661) 948-6310
MARIAM ANNA GETTAS
Optometrist
43927 15TH ST W
LANCASTER, CA 93534
Los Angeles County (661) 948-6310
MICHAEL PAUL CONCEPCION FNP
Nurse Practitioner (Family)
43927 15TH ST W
LANCASTER, CA 93534
Los Angeles County (661) 501-7176

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 Amanda Ly's NPI number?

The NPI number for Amanda Ly is 1902413495. It was assigned to this individual provider in the NPPES registry on September 28, 2020.

Where is Amanda Ly located?

Amanda Ly practices at 43927 15th St W, Lancaster, CA 93534. The listed phone number is (661) 948-6310.

What is Amanda Ly's specialty?

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

Is Amanda Ly enrolled in Medicare?

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

Which organizations bill Medicare for Amanda Ly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Ly reassigns Medicare benefits to 2 organizations: Fourth Optometric Care Of California (Woodland Hills, CA) and (Oakland, 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 Amanda Ly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Ly accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Amanda 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 Amanda Ly was last updated on November 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.