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

Q: 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.

Q: What is Amanda Ly's specialty?

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

Q: 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.

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: August 09, 2026.

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

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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 Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

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.

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