Van B. Ly, LLC
NPI 1154585024 · Clinic/Center · Olympia, WA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Van B. Ly, LLC is a Clinic/Center organization in Olympia, WA (NPI 1154585024).
Provider details
- NPI number
- 1154585024
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Van Ly, Optometrist(360) 357-2544
- License
- 602832856 (WA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-07-10
- Last updated
- 2010-06-01
Frequently asked questions
- What is Van B. Ly, LLC's NPI number?
- Van B. Ly, LLC's National Provider Identifier (NPI) is 1154585024, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Van B. Ly, LLC?
- Van B. Ly, LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Van B. Ly, LLC located?
- Van B. Ly, LLC's practice location on file with NPPES is 319 7th Ave Se, Olympia, WA 98501-1325.
- What is Van B. Ly, LLC's phone number?
- The practice phone number listed in the NPPES registry for Van B. Ly, LLC is (360) 357-2544.
- Does Van B. Ly, LLC accept Medicare?
- Van B. Ly, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Van B. Ly, LLC?
- The authorized official listed on Van B. Ly, LLC's NPPES record is Van Ly, Optometrist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Van B. Ly, LLC's NPI active?
- Yes — Van B. Ly, LLC's NPI (1154585024) is active in the NPPES registry as of the last update on 2010-06-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.