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

Johnson Ly, OD

Individual provider Optometrist · NPI 1164076949

Johnson Ly, OD is an Optometry in Plano, Texas. Qualified in 2019, 7 years ago. Practices with Med Southwest PLLC, a 226-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
7
Licensed in
TX
In the registry since
2019
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

2313 W Parker Rd
Plano, TX 75023-7839
Phone: (972) 612-2015
Fax: (972) 867-5454
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 9736 (TX)

Record details

NPI number1164076949
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 30, 2019
Last updated in NPPESSeptember 12, 2024
Certification dateSeptember 12, 2024
Mailing address8614 Westwood Center Dr Fl 9, Vienna, VA 22182-2442

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Med Southwest Pllc — 226 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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