Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dat Ly, OD

Individual provider Optometrist · NPI 1043276421

Dat Ly, OD is an Optometry in Tyler, Texas. Graduated from Illinois College of Optometry at Chicago in 2002, 24 years ago. Accepts Medicare assignment. Licensed in Texas.

Years since qualifying
24
Trained at
Illinois College of Optometry at Chicago
Licensed in
TX
In the registry since
2006
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

7924 S Broadway Ave Ste 200
Tyler, TX 75703-5204
Phone: (903) 617-6864
Fax: (903) 504-5758
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 6516T (TX)

Record details

NPI number1043276421
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedApril 25, 2006
Last updated in NPPESJanuary 11, 2013
Mailing address830 Carriage Dr, Tyler, TX 75703-3682

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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