Individual provider Active NPI

Katlyn Lane Lee, OD

  • Optometrist
  • Decatur, IL
National Provider Identifier
1114445145
Registry record updated Jan 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.012068 Issued in IL
Practice address
2475 N Monroe St
Decatur, IL 62526-3941
Phone
(217) 875-5900
Fax
(217) 875-5600
NPI assigned
Aug 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2066DT KY
Optometrist 152W00000X 046.012068 IL Primary

Addresses

Primary practice location

2475 N Monroe St
Decatur, IL 62526-3941

Mailing address

2475 N Monroe St
Decatur, IL 62526-3941
Phone (217) 875-5900

Other practice location 1

1410 E Village Pkwy
MT Zion, IL 62549-1253
Phone (217) 615-2510

Other practice location 2

1821 Florence Pike Ste 1
Burlington, KY 41005-7942
Phone (589) 586-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200827003599 IN Practitioner - Optometry 5597030445 Reassigns benefits to 1 organization
I20260211000887 IL Practitioner - Optometry 5597030445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allied Vision Source LLCGroup PAC ID 4486964665, 6 clinicians
Dr Linda a Frechette IncGroup PAC ID 1456244680, 4 clinicians

Practice addresses (Care Compare)

1410 E Village Pkwy
Mt Zion, IL 62549-1253
Phone (217) 615-2510

951 N Main St
Frechette Eye Center
Franklin, IN 46131-1239
Phone (317) 736-7715

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046.012068ILMDOptometrist
2066DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Linda a Frechette Inc. Optometrist CurrentSince Aug 19, 2020 Accepting new patients
Allied Vision Source, LLC Optometrist CurrentSince Jan 21, 2026 Accepting new patients

Locations

2475 N Monroe St
Decatur, IL 62526
Phone (217) 875-0300

303 N Keller Dr
Effingham, IL 62401
Phone (217) 342-2672

1410 E Village Pkwy
Mt Zion, IL 62549
Phone (217) 615-2510

951 N Main St
Franklin, IN 46131
Phone (317) 709-6682

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769817600000",
    "number": "1114445145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 N MONROE ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625263941",
            "telephone_number": "217-875-5900",
            "fax_number": "217-875-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 N MONROE ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625263941",
            "telephone_number": "217-875-5900",
            "fax_number": "217-875-5600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1410 E Village Pkwy",
            "address_purpose": "LOCATION",
            "city": "MT Zion",
            "state": "IL",
            "postal_code": "625491253",
            "country_code": "US",
            "telephone_number": "217-615-2510",
            "fax_number": "217-402-7544",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1821 Florence Pike Ste 1",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "KY",
            "postal_code": "410057942",
            "country_code": "US",
            "telephone_number": "589-586-3937",
            "fax_number": "859-689-6232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "KATLYN",
        "middle_name": "LANE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-30",
        "last_updated": "2026-01-31",
        "certification_date": "2026-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2066DT",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.012068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

Verify at the official NPI Registry.