Organization Active NPI

Lee Eye Center Inc

  • Ophthalmology Physician
  • Youngstown, OH
National Provider Identifier
1023187630
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
LEE EYE CENTER INC
Practice address
8135 Market St
Youngstown, OH 44512-6244
Phone
(330) 758-0900
Fax
(330) 758-2790
NPI assigned
Nov 7, 2006
Last updated
Jan 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Kimberly Mae Horne
Title
Office Manager
Phone
(330) 758-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X Primary

Addresses

Primary practice location

8135 Market St
Youngstown, OH 44512-6244

Mailing address

8135 Market St
Youngstown, OH 44512-6244
Phone (330) 758-0900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041026000903 OH Part B Supplier - Clinic/Group Practice 6507827151 Receives reassigned benefits from 12 practitioners
Practice locations: East Liverpool, OH; Youngstown, OH
O20100621000265 WV Part B Supplier - Clinic/Group Practice 6507827151 Receives reassigned benefits from 3 practitioners
Practice locations: Weirton, WV

National Provider Directory

National Provider Directory

Locations

49126 Calcutta Smithferry Rd
East Liverpool, OH 43920
Phone (330) 382-0573

800 McKinley Ave NW
Novelty, OH 44073

752 Brookshire Dr
Hermitage, PA 16148
Phone (724) 342-7395

752 Brookshire Dr
Ste B
Hermitage, PA 16148
Phone (724) 347-5665

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1023187630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8135 MARKET ST",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445126244",
            "telephone_number": "330-758-0900",
            "fax_number": "330-758-2790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8135 MARKET ST",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445126244",
            "telephone_number": "330-758-0900",
            "fax_number": "330-758-2790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE EYE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "HORNE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "330-758-0900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.