Richard Ly, OD in Artesia, CA - Medicare Optometrist Provider

Richard Ly, OD is a medicare enrolled "Optometrist" provider in Artesia, California. His current practice location is 17801 Pioneer Blvd, Artesia, California. You can reach out to his office (for appointments etc.) via phone at (562) 467-0813.

Richard Ly is licensed to practice in California (license number 34078TLG) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1124509252.

Contact Information

	Richard Ly, OD
	17801 Pioneer Blvd, Artesia, CA 90701-3962
	(562) 467-0813
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Richard Ly
Gender	Male
Speciality	Optometrist
Location	17801 Pioneer Blvd, Artesia, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124509252
Provider Enumeration Date: 08/27/2018
Last Update Date: 10/27/2023

Medicare PECOS Information:

PECOS PAC ID: 6507206356
Enrollment ID: I20240426003365

Medical Identifiers

Medical identifiers for Richard Ly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124509252	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	34078TLG (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Richard Ly allows following entities to bill medicare on his behalf.

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

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Richard Ly is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

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

Reviews and Comments

Optometrist in Artesia, CA

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

Richard Ly, OD - Medicare Optometrist in Artesia, CA