DR. SIVHOUR LY (OD) – Optometrist, NPI 1346498029

DR. SIVHOUR LY (OD) is a healthcare provider. based in Wareham, Massachusetts. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 4694 (MA). The NPI Number for DR. SIVHOUR LY (OD) is 1346498029

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. SIVHOUR LY (OD)
NPI
1346498029
Phone
(413) 552-3937
Address
2421 CRANBERRY HWY
Enumeration Date
5 September 2008
Last Update Date
22 July 2022

Doctor Profile

Medical School Name
NEW ENGLAND COLLEGE OF OPTOMETRY
Secondary Phone
5082730453
Graduation Year
2008 (18 years ago)
PAC ID
5496804098
Professional Enrollment ID
I20090529000470
Address ID
MA025715032WA2421XHWYX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,116 OPTOMETRY in MA

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Provider Addresses for DR. SIVHOUR LY (OD)

  • 2421 CRANBERRY HWY

    STE 110

    WAREHAM, MA 025715032

    Phone: (413) 552-3937

    Fax: (888) 935-4545

    Type: Mailing

  • 90;94;98, Lower Westfield Road, Ingleside, Holyoke, Hampden County, Massachusetts, 01040, United States

    HOLYOKE, MA 010409403

    Phone: (413) 552-3937

    Fax: (888) 935-4545

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2009-05-29

PECOS data refreshed: 2026-05-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090529000470IOptometryMATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92004New patient complete exam of visual system3333$0
View full utilization report →

Insurance plans in this area (ZIP 02571)

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Reviews

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Frequently asked questions

What number should I use to identify DR. SIVHOUR LY (OD) for billing?
Administrative and clinical systems typically use NPI 1346498029 for DR. SIVHOUR LY (OD).
Does the public listing show DR. SIVHOUR LY (OD) as active?
DR. SIVHOUR LY (OD)'s NPI record reflects an active status in NPPES.
What does the directory say DR. SIVHOUR LY (OD) does?
Insurance directories may phrase it differently, but here DR. SIVHOUR LY (OD) maps to Optometrist. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. SIVHOUR LY (OD)?
DR. SIVHOUR LY (OD) shows a connection to Wareham, Massachusetts in registry-derived data.
Who maintains DR. SIVHOUR LY (OD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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