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

Richard Ly, OD

Individual provider Optometrist · NPI 1124509252

Richard Ly, OD is an Optometry in Artesia, California. Qualified in 2018, 8 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2018
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

17801 Pioneer Blvd
Artesia, CA 90701-3962
Phone: (562) 467-0813
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 661 N Euclid St, Anaheim, CA 92801-4622 — (714) 817-0606

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 34078TLG (CA)

Record details

NPI number1124509252
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedAugust 27, 2018
Last updated in NPPESOctober 27, 2023
Mailing address600 S Beach Blvd Apt 6, Anaheim, CA 92804-3150

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Artesia