What is Jacklyn Ly's NPI number?

Jacklyn Ly's National Provider Identifier (NPI) is 1902779465, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jacklyn Ly's specialty?

Jacklyn Ly is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).

Where is Jacklyn Ly located?

Jacklyn Ly's practice location on file with NPPES is 11794 E Colonial Dr, Orlando, FL 32817-4626.

What is Jacklyn Ly's phone number?

The practice phone number listed in the NPPES registry for Jacklyn Ly is (407) 904-4431.

Is Jacklyn Ly's NPI active?

Yes — Jacklyn Ly's NPI (1902779465) is active in the NPPES registry as of the last update on 2026-01-20.

IndividualActive

Jacklyn Ly, OD

NPI 1902779465 · Optometrist · Orlando, FL

Jacklyn Ly, OD is a Optometrist provider in Orlando, FL (NPI 1902779465).

Provider details

NPI number: 1902779465
Entity type: Individual
Primary specialty: OptometristEye and Vision Services Providers
Credential: OD
Sex: Female
Sole proprietor: No
License: OPC6845 (FL)

Specialties & taxonomies

OptometristPrimary152W00000XLicense OPC6845 (FL)
Eye and Vision Services Providers

Profile Score

Established profile(54/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in 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

11794 E Colonial Dr

Orlando, FL 32817-4626

Phone: (407) 904-4431

Street-level locationGet directions

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Mailing address