Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154686889 Individual Practitioner Female Practitioner

Susan Ly , DR

Optometrist • Chantilly, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Susan Ly, DR is a certified Optometrist practicing in Chantilly, VA. With approximately 14 years of clinical experience since graduating from International American University At Puerto Rico - School Of Optometry in 2012, Susan Ly delivers high-quality medical care to the local community at 14391 CHANTILLY CROSSING LN.

Susan Ly accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

14391 Chantilly Crossing Ln

Chantilly, VA 201512118

Telephone 7038170748
Fax 7038170748
Associated Practice Facility / Clinic
🏢 Virginia Cvs Pharmacy Llc Facility NPI 1558383232

Medicare Profile & Education

Medical School

International American University At Puerto Rico - School Of Optometry

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Chantilly, VA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
14 Yrs -6.5 yrs vs City Avg
City Avg: 20.5 Yrs
State Avg: 20.6 Yrs
Regional Practice Density
15 Specialists

Practicing in Chantilly, VA (1522 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
1.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ly (14 Years) 14 Yrs
Chantilly Specialty Average (20.5 Years) 20.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92004 New patient complete exam of visual system
13 13 $150.00 $147.94

Medical Specialties & State Licenses

CMS Verified: 2023-02-22
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License VA 0618002157

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.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License MD TA2308

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1710503198

Doctor of Optometry

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location February 22, 2023

Registered at 14391 CHANTILLY CROSSING LN, CHANTILLY, VA 201512118 (Tel: 7038170748)

📍
Updated Business Mailing Address February 22, 2023

Registered at 12527 CERROMAR PL, FAIRFAX, VA 220306653 (Tel: 7033388444)

📍
Updated Business Mailing Address August 13, 2019

Registered at 11444 KENTSHIRE WAY, FAIRFAX, VA 220307443 (Tel: 7033388444)

NPI Profile Active July 09, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2012

Registered at 1950 OLD GALLOWS RD, SUITE 520, VIENNA, VA 221823990 (Tel: 7038478899)

📍
Updated Business Mailing Address July 09, 2012

Registered at 1950 OLD GALLOWS RD, SUITE 520, VIENNA, VA 221823990 (Tel: 7038478899)

👤
Provider Name / Credentials Updated July 09, 2012

Recorded as SUSAN LY, DR.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2012

Optometrist (License #0618002157 in VA)

🟢
Initial NPI Registration & Enumeration July 09, 2012

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: 1154686889
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 09, 2012
Last Update: February 22, 2023
Sole Proprietor: No

Mailing Address

12527 Cerromar Pl

Fairfax, VA 220306653

Phone: 7033388444

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.