Active NPI 1649290701 Individual Practitioner Male Practitioner

Dr. Ethan Dieu Ly , OD

Optometrist • Franklin, TN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ethan Ly, OD is a certified Optometrist practicing in Franklin, TN. With approximately 25 years of clinical experience since completing medical education in 2001, Dr. Ly delivers high-quality medical care to the local community at 330 MAYFIELD DR.

Dr. Ly is affiliated with Calvert Opthalmology Psc and accepts Medicare assignment.

Frequently performed procedures and clinical services include ct scan of cornea, established patient outpatient office visit, photography of the retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

330 Mayfield Dr
Suite D2

Franklin, TN 370677203

Telephone 6157711020

Fax 6157719263

Associated Practice Facility / Clinic

🏢 Precision Care Chiropractic, Pllc Facility NPI 1467697128

Medicare Profile & Education

Medical School

Other

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Franklin, TN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs +3.8 yrs vs City Avg

City Avg: 21.2 Yrs

State Avg: 22.1 Yrs

Regional Practice Density

38 Specialists

Practicing in Franklin, TN (1373 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

6.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ly (25 Years) 25 Yrs

Franklin Specialty Average (21.2 Years) 21.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92025 Ct scan of cornea	11	11	$35.00	$32.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92025 Ct scan of cornea	34	34	$35.00	$33.28
99213 Established patient office or other outpatient visit, typically 15 minutes	27	27	$120.00	$83.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	23	23	$120.00	$84.59
92025 Ct scan of cornea	19	19	$35.00	$33.37
92250 Photography of the retina	11	11	$95.00	$31.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92025 Ct scan of cornea	21	21	$35.00	$32.70
99213 Established patient office or other outpatient visit, typically 15 minutes	19	19	$120.00	$85.98
92250 Photography of the retina	11	11	$95.00	$36.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92025 Ct scan of cornea	19	19	$35.00	$33.39
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$120.00	$70.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$157.33	$102.21
92025 Ct scan of cornea	15	15	$35.00	$32.65
92250 Photography of the retina	14	14	$95.00	$47.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92025 Ct scan of cornea	11	11	$35.00	$31.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	14	14	$95.00	$56.46
76514 Ultrasound scan of cornea to determine thickness	13	13	$16.54	$12.26
92286 Imaging of front third of eye using a special microscope	13	13	$33.85	$30.37
92025 Ct scan of cornea	12	12	$32.92	$28.53

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License TN 2251

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Cigna Healthcare

2694372 (TN)

Commercial Insurance / Payer ID Bcbs

4098341 (TN)

Commercial Insurance / Payer ID United Healthcare

2507272 (TN)

Hospital & Practice Group Affiliations

Calvert Opthalmology Psc

1800 Galleria Blvd, Franklin, TN 370671694

Phone: 6157719979

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active October 10, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location October 10, 2007

Registered at 330 MAYFIELD DR, SUITE D2, FRANKLIN, TN 370677203 (Tel: 6157711020)

📍

Updated Business Mailing Address October 10, 2007

Registered at 330 MAYFIELD DR, SUITE D2, FRANKLIN, TN 370677203 (Tel: 6157711020)

👤

Provider Name / Credentials Updated October 10, 2007

Recorded as ETHAN LY, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2007

Optometrist (License #2251 in TN)

🟢

Initial NPI Registration & Enumeration July 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1649290701

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 20, 2006

Last Update: October 10, 2007

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

330 Mayfield Dr, Suite D2

Franklin, TN 370677203

Phone: 6157711020

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.