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Active NPI 1164076949 Individual Practitioner Male Practitioner

Dr. Johnson Ly , OD

Optometrist • Plano, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Johnson Ly, OD is a certified Optometrist practicing in Plano, TX. With approximately 7 years of clinical experience since completing medical education in 2019, Dr. Ly delivers high-quality medical care to the local community at 2313 W PARKER RD.

Dr. Ly is affiliated with Med Southwest Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, exam of visual field with extended testing, 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

2313 W Parker Rd

Plano, TX 750237839

Telephone 9726122015
Fax 9728675454
Associated Practice Facility / Clinic
🏢 Harold R Codianne Od Pa Facility NPI 1619193612

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Plano, TX

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -11.3 yrs vs City Avg
City Avg: 18.3 Yrs
State Avg: 19.5 Yrs
Regional Practice Density
110 Specialists

Practicing in Plano, TX (5156 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
40.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ly (7 Years) 7 Yrs
Plano Specialty Average (18.3 Years) 18.3 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
99213 Established patient office or other outpatient visit, typically 15 minutes
230 175 $125.00 $86.80
92083 Exam of visual field with extended testing
35 20 $98.57 $50.96
92250 Photography of the retina
35 34 $95.00 $35.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
32 29 $175.00 $122.32
92133 Imaging of optic nerve
24 16 $60.63 $31.84
92134 Imaging of retina
15 12 $65.67 $37.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
14 12 $80.00 $53.73

Medical Specialties & State Licenses

CMS Verified: 2024-09-12
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License TX 9736

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.

Hospital & Practice Group Affiliations

Med Southwest Pllc

2313 W Parker Rd, Plano, TX 750237839

Phone: 9726122015

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1003808395

Doctor of Optometry

NPI 1144634957

Doctor of Optometry

NPI 1538680509

Doctor of Optometry

NPI 1588657506

Doctor of Optometry

NPI 1902898422

Doctor of Optometry

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Business Mailing Address September 12, 2024

Registered at 8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 221822442 (Tel: 7038478899)

📍
Updated Practice Location April 27, 2020

Registered at 2313 W PARKER RD, PLANO, TX 750237839 (Tel: 9726122015)

📍
Updated Business Mailing Address April 27, 2020

Registered at 1950 OLD GALLOWS RD STE 520, VIENNA, VA 221823970 (Tel: 7038478899)

NPI Profile Active July 30, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location July 30, 2019

Registered at 6471 E NW HWY, #130, DALLAS, TX 75231 (Tel: 2146474776)

📍
Updated Business Mailing Address July 30, 2019

Registered at 10520 LAS BRISAS DR, DALLAS, TX 752435307 (Tel: 9729889321)

👤
Provider Name / Credentials Updated July 30, 2019

Recorded as JOHNSON LY, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2019

Optometrist (License #9736 in TX)

🟢
Initial NPI Registration & Enumeration July 30, 2019

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: 1164076949
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 30, 2019
Last Update: September 12, 2024
Sole Proprietor: No

Mailing Address

8614 Westwood Center Dr Fl 9

Vienna, VA 221822442

Phone: 7038478899

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.