KIM LY (O.D.) – Optometrist, NPI 1083148571
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,935 OPTOMETRY in CA
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Provider Addresses for KIM LY (O.D.)
1125, South Torry Place, Anaheim, Orange County, California, 92806, United States
ANAHEIM, CA 928064924
Phone: (714) 818-3514
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $644.
Total Amount is formed as General ($644) + Research ($0) + Ownership ($0) = $644.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Glaukos Corporation ($228).
Total Amount
$644
General + Research + Ownership
Payments
13
Total payment records
General Amount
$644
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-08-02
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170802001049 | I | Optometry | AZ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 123 | 123 | $0 |
| 92134 | Imaging of retina | 21 | 21 | $0 |
| 92136 | Measurement of corneal curvature and depth of eye | 20 | 20 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 19 | 19 | $0 |
| 92014 | Established patient complete exam of visual system | 17 | 17 | $0 |
Insurance plans in this area (ZIP 92806)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | AZ | |
| - | AZ | |
| O P T O M E T R Y | AZ | |
| - | AZ | |
| - | AZ | |
| - | AZ | |
| O P T O M E T R Y | AZ | |
| - | AZ | |
| O P T O M E T R Y | AZ | |
| - | AZ |
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