Individual provider Active NPI

Cheryl Lee, MD

  • Ophthalmology Physician
  • Richland, WA
National Provider Identifier
1053611400
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD60869962 Issued in WA
Practice address
475 Bradley Blvd
Richland, WA 99352-4419
Phone
(509) 943-2240
NPI assigned
Nov 1, 2010
Last updated
Sep 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD60869962 WA Primary

Addresses

Primary practice location

475 Bradley Blvd
Richland, WA 99352-4419

Mailing address

PO Box 1529
Richland, WA 99352-1529
Phone (509) 943-2240

Other identifiers 1

IdentifierTypeStateIssuer
2111045MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address clee@river.integrityemrdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240708002252 VA Practitioner - Ophthalmology 4789803842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Louisiana State University School of Medicine in New Orleans, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mary Washington Eye Care Center, LLCGroup PAC ID 9931238094, 6 clinicians

Practice addresses (Care Compare)

4710 Spotsylvania Pkwy
Suite 104
Fredericksburg, VA 22407-9433
Phone (540) 741-2733

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Washington Eye Care Center, LLC Ophthalmology CurrentSince Jun 18, 2024 Accepting new patients

Locations

4710 Spotsylvania Pkwy
Ste 104
Fredericksburg, VA 22407
Phone (540) 741-2733

Interoperability endpoints

  • Direct secure messaging: clee120692@marywashingtonhealthcare.direct-ci.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1053611400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1529",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993521529",
            "telephone_number": "509-943-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 BRADLEY BLVD",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524419",
            "telephone_number": "509-943-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "CHERYL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-01",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD60869962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2111045",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clee@river.integrityemrdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "475 Bradley Blvd",
            "city": "Richland",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993524419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

Verify at the official NPI Registry.