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

Dr. Amanda Ly, OD

Individual provider Optometrist · NPI 1902413495

Dr. Amanda Ly, OD is an Optometry in Lancaster, California. Graduated from University of California - School of Optometry in 2020, 6 years ago. Practices with Fourth Optometric Care of California, a 25-clinician group. Licensed in California.

Years since qualifying
6
Trained at
University of California - School of Optometry
Licensed in
CA
In the registry since
2020
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

43927 15th St W
Lancaster, CA 93534-4758
Phone: (661) 948-6310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPT34702-TLG (CA)

Record details

NPI number1902413495
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedSeptember 28, 2020
Last updated in NPPESNovember 30, 2020
Certification dateNovember 30, 2020
Mailing address3164 Highlander Rd, Fullerton, CA 92833-5508

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolUNIVERSITY OF CALIFORNIA - SCHOOL OF OPTOMETRY
Graduated 2020 (6 years in practice)
Group practice Fourth Optometric Care Of California — 25 clinicians
Accepts Medicare assignment Not indicated

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