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

Susan Ly, DR

Individual provider Optometrist · NPI 1154686889

Susan Ly, DR is an Optometry in Chantilly, Virginia. Graduated from International American University at Puerto Rico - School of Optometry in 2012, 14 years ago. Accepts Medicare assignment. Licensed in Maryland and Virginia.

Years since qualifying
14
Trained at
International American University at Puerto Rico - School of Optometry
Licensed in
MD, VA
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

14391 Chantilly Crossing Ln
Chantilly, VA 20151-2118
Phone: (703) 817-0748
Fax: (703) 817-0748
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 0618002157 (VA)
Optometrist Taxonomy 152W00000X · Licence TA2308 (MD)

Record details

NPI number1154686889
Entity typeIndividual (Type 1)
GenderFemale
Credentials DR
Sole proprietorNo
NPI enumeratedJuly 9, 2012
Last updated in NPPESFebruary 22, 2023
Certification dateFebruary 22, 2023
Mailing address12527 Cerromar Pl, Fairfax, VA 22030-6653

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolINTERNATIONAL AMERICAN UNIVERSITY AT PUERTO RICO - SCHOOL OF OPTOMETRY
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Chantilly