Individual provider Active NPI

Molly Lee, O.D.

  • Optometrist
  • Medina, TN
National Provider Identifier
1083755037
Registry record updated Jul 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TN2579 Issued in TN
Practice address
25 Middle School Road
Medina, TN 38355
Phone
(731) 664-1604
NPI assigned
Feb 11, 2007
Last updated
Jul 10, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TN2579 TN Primary

Addresses

Primary practice location

25 Middle School Road
Medina, TN 38355

Mailing address

25 Middle School Road
Medina, TN 38355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090821000680 TN Practitioner - Optometry 2163516048 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skyline Eye Clinic, PCGroup PAC ID 0042253882, 9 clinicians

Practice addresses (Care Compare)

1340 Union University Dr
Jackson, TN 38305-3780
Phone (731) 424-2414

668 Skyline Dr
Jackson, TN 38301-3951
Phone (731) 426-8434

Merit-based Incentive Payment System (MIPS)

Final score
92.16 of 100Reported as group
Quality
97.83
Improvement activities
40
Cost
76.76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2614COMDClinical Psychologist
TN2579TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Skyline Eye Clinic, PC CurrentSince Sep 8, 2014 Accepting new patients
Health Care for Life Al, LLC Optometrist CurrentSince Aug 10, 2015 Accepting new patients
Health Care for Life TN, LLC Optometrist CurrentSince Jul 28, 2012 Accepting new patients
Ogallala Eyecare,P.C. Optometrist Past Accepting new patients
Advanced Cardiovascular & Vein Center PastSince Nov 23, 2009 Accepting new patients
Ogallala Eyecare PC Optometrist PastSince Sep 1, 1993 Accepting new patients
360Care Services of Al LLC Optometrist PastSince Jun 30, 2025 Accepting new patients
Health Care for Life Ms, LLC Optometrist PastSince Jul 28, 2012 Accepting new patients

Locations

523 Gandy St NE
Ste A
Russellville, AL 35653
Phone (205) 208-9955

138 S Washington Ave
Henderson, TN 38340
Phone (731) 989-3511

1340 Union University Dr
Jackson, TN 38305
Phone (731) 215-1281

668 Skyline Dr
Jackson, TN 38301
Phone (731) 424-1414

301 S Perimeter Park Dr
Ste 100
Nashville, TN 37211
Phone (615) 478-6748

301 S Perimeter Park Dr
Ste 21
Nashville, TN 37211
Phone (615) 781-4238

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14790/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mlee@ecpc.intellechartdirect.net
  • Direct secure messaging: molly.lee.p2@direct.360care.nextgenshare.com

Organizations & group practices 9

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": "1171152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247184000000",
    "number": "1083755037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MIDDLE SCHOOL ROAD",
            "city": "MEDINA",
            "state": "TN",
            "postal_code": "38355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MIDDLE SCHOOL ROAD",
            "city": "MEDINA",
            "state": "TN",
            "postal_code": "38355",
            "telephone_number": "731-664-1604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MOLLY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-11",
        "last_updated": "2009-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "TN2579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, TN

Sources for this page

Verify at the official NPI Registry.