Active NPI
Palmer N Lee, O.D.
- Optometrist
- Gold River, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5895T
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040927000852 | CA | Practitioner - Optometry | 9830168053 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5895T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Center Optometrics, a Professional Corporation | Optometrist | Current | Accepting new patients |
| Eye Center Optometrics, a Professional Corporation | Optometrist | Current | Accepting new patients |
| Eye Center Optometrics, a Professional Corporation | Optometrist | Current | 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.
-
- Optometrist
- Citrus Heights, CA
- NPI 1245369024
CA, Optometrist
-
- Optometrist
- Rocklin, CA
- NPI 1275869166
-
- Optometrist
- Citrus Heights, CA
- NPI 1619440567
-
- Optometrist
- Gold River, CA
- NPI 1346576295
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
Practice addresses (Care Compare)
6809 Five Star Blvd
Suite 100a
Rocklin, CA 95677-2687
Phone (916) 624-2020
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.