| Richard Ly, OD | |
|
17801 Pioneer Blvd, Artesia, CA 90701-3962 | |
| (562) 467-0813 | |
| Not Available |
| Full Name | Richard Ly |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 8 Years |
| Location | 17801 Pioneer Blvd, Artesia, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124509252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 34078TLG (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern California Permanente Medical Group | 6002729175 | 9038 |
| Provider Name | Southern California Permanente Medical Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Ly, OD 600 S Beach Blvd Apt 6, Anaheim, CA 92804-3150 Ph: (408) 876-0145 | Richard Ly, OD 17801 Pioneer Blvd, Artesia, CA 90701-3962 Ph: (562) 467-0813 |
Dr. Ken Imoto, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11436 Artesia Blvd, Suite D, Artesia, CA 90701 Phone: 562-860-1717 Fax: 562-865-5184 | |
Bryan Imoto O.d. Optometric Corporation Optometrist Medicare: Medicare Enrolled Practice Location: 11436 Artesia Blvd Ste D, Artesia, CA 90701 Phone: 562-860-1717 Fax: 562-865-5184 | |
Dr. Michael S Chang, OD Optometrist Medicare: Medicare Enrolled Practice Location: 17801 Pioneer Blvd, Suite F, Artesia, CA 90701 Phone: 562-467-0813 Fax: 562-467-0816 | |
Mimi Anh Saysomphane, OD Optometrist Medicare: Medicare Enrolled Practice Location: 17801 Pioneer Blvd Ste F, Artesia, CA 90701 Phone: 714-642-5260 | |
Artesia I Care Optometry Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11436 Artesia Blvd Ste D, Artesia, CA 90701 Phone: 562-860-1717 | |
Dr. Bryan Takanori Imoto, BRYAN IMOTO O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 11436 Artesia Blvd, Suite D, Artesia, CA 90701 Phone: 562-860-1717 |