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

Jacklyn Ly, OD

Individual provider Optometrist · NPI 1902779465

Jacklyn Ly, OD is an Optometry in Orlando, Florida. Qualified in 2025, 1 year ago. Practices with Aeg Florida Professional PLLC, a 70-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2025
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

11794 E Colonial Dr
Orlando, FL 32817-4626
Phone: (407) 904-4431
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPC6845 (FL)

Record details

NPI number1902779465
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedSeptember 29, 2025
Last updated in NPPESJanuary 20, 2026
Certification dateJanuary 20, 2026
Mailing address11794 E Colonial Dr, Orlando, FL 32817-4626

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Aeg Florida Professional Pllc — 70 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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