DR. ALEXANDRA LY (O.D.) – Optometrist, NPI 1477675817

DR. ALEXANDRA LY (O.D.) is a healthcare provider. based in Irving, Texas. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 7000TG (TX). The NPI Number for DR. ALEXANDRA LY (O.D.) is 1477675817

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. ALEXANDRA LY (O.D.)
NPI
1477675817
Phone
(972) 639-5836
Address
3425 GRANDE BULEVAR
Enumeration Date
5 April 2007
Last Update Date
28 June 2019

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
9726395836
Graduation Year
2006 (20 years ago)
PAC ID
4587735972
Professional Enrollment ID
I20080612000133
Address ID
TX750625108IR3425XBULE300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,128 OPTOMETRY in TX

Provider Addresses for DR. ALEXANDRA LY (O.D.)

  • 3425 GRANDE BULEVAR

    IRVING, TX 750625108

    Phone: (972) 639-5836

    Type: Mailing

  • 5330 Fm 1640 Rd

    Richmond, TX 774695435

    Phone: (281) 342-9922

    Fax: (281) 342-9923

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $633.

Total Amount is formed as General ($633) + Research ($0) + Ownership ($0) = $633.

Last reported payment date: 2024-08-12 • Largest payer in this snapshot: CooperVision Inc. ($419).

Total Amount

$633

General + Research + Ownership

Payments

10

Total payment records

General Amount

$633

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2008-06-12

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
I20080612000133IOptometryTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75062)

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Reviews

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Frequently asked questions

What identifier follows DR. ALEXANDRA LY (O.D.) across health systems?
The NPI 1477675817 uniquely identifies DR. ALEXANDRA LY (O.D.) in U.S. healthcare data.
Is DR. ALEXANDRA LY (O.D.)'s NPI status active today?
Active status means DR. ALEXANDRA LY (O.D.)'s NPI record is not deactivated in the public file.
What does the directory say DR. ALEXANDRA LY (O.D.) does?
Insurance directories may phrase it differently, but here DR. ALEXANDRA LY (O.D.) maps to Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. ALEXANDRA LY (O.D.) tied to Irving, Texas?
If you are local to Irving, Texas, DR. ALEXANDRA LY (O.D.) may be relevant to your search.
Can I export DR. ALEXANDRA LY (O.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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