Michael Ly, D.O

Individual Active
NPI 1013014794
Pediatric Optometrist Moreno Valley, CA

NPI 1013014794 belongs to Michael Ly, D.O, a pediatric optometrist with a practice location in Moreno Valley, CA. The NPI was issued on September 17, 2006, and the record was last updated in NPPES on September 11, 2025. The record lists 2 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Pediatric Optometrist Primary 152WP0200X 11700T (CA)
Optometrist 152W00000X 11700T (CA)

Practice location

22450 Town Cir
Moreno Valley, CA 92553-7506
Phone: (951) 653-1055

Local context

Active NPPES records list 1 provider with pediatric optometrist as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 39 in California and 323 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Dr. Michael Minh Ba Ly
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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