Individual provider Active NPI

Palmer N Lee, O.D.

  • Optometrist
  • Gold River, CA
National Provider Identifier
1114019171
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5895T Issued in CA
Practice address
2200 Sunrise Blvd
Suite 120
Gold River, CA 95670-4374
Phone
(916) 852-1800
Fax
(916) 852-0231
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5895T CA Primary

Addresses

Primary practice location

2200 Sunrise Blvd
Suite 120
Gold River, CA 95670-4374

Mailing address

2200 Sunrise Blvd
Suite 120
Gold River, CA 95670-4374
Phone (916) 852-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20040927000852 CA Practitioner - Optometry 9830168053 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5895TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Center Optometrics, a Professional Corporation Optometrist CurrentSince Oct 31, 2003 Accepting new patients
Eye Center Optometrics, a Professional Corporation Optometrist Current Accepting new patients
Eye Center Optometrics, a Professional Corporation Optometrist CurrentSince Oct 31, 2003 Accepting new patients
Eyecenter Optometrics, a Professional Corporation Optometrist Past Accepting new patients

Locations

5959 Greenback Ln
Ste 130
Citrus Hts, CA 95621
Phone (916) 726-1818

421 Blue Ravine Rd
Ste 300
Folsom, CA 95630
Phone (916) 452-4706

2200 Sunrise Blvd
Ste 120
Gold River, CA 95670
Phone (916) 852-1600

6809 Five Star Blvd
Ste 100A
Rocklin, CA 95677
Phone (916) 624-2020

2831 J St
Sacramento, CA 95816
Phone (916) 441-5800

Organizations & group practices 4

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

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Center Optometrics a Professional Corporation 11 clinicians

Practice addresses (Care Compare)

6809 Five Star Blvd
Suite 100a
Rocklin, CA 95677-2687
Phone (916) 624-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1114019171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 SUNRISE BLVD",
            "address_2": "SUITE 120",
            "city": "GOLD RIVER",
            "state": "CA",
            "postal_code": "956704374",
            "telephone_number": "916-852-1800",
            "fax_number": "916-852-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 SUNRISE BLVD",
            "address_2": "SUITE 120",
            "city": "GOLD RIVER",
            "state": "CA",
            "postal_code": "956704374",
            "telephone_number": "916-852-1800",
            "fax_number": "916-852-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "PALMER",
        "middle_name": "N",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5895T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gold River, CA

Sources for this page

Verify at the official NPI Registry.