Individual provider Active NPI

Brandon David Lee, M.D.

  • Ophthalmology Physician
  • Kingsport, TN
National Provider Identifier
1225080021
Registry record updated Feb 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
22313 Issued in WV
Practice address
135 W Ravine Rd
Suite 2C
Kingsport, TN 37660-3847
Phone
(423) 246-7372
Fax
(423) 578-4369
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2012

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 22313 WV Primary

Addresses

Primary practice location

135 W Ravine Rd
Suite 2C
Kingsport, TN 37660-3847

Mailing address

135 W Ravine Rd
Suite 2C
Kingsport, TN 37660-3847
Phone (423) 246-7372

Other identifiers 1

IdentifierTypeStateIssuer
103I181026OtherTNMEDICARE PTAN

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120130000593 TN Practitioner - Ophthalmology 7911901426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
West Virginia University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Eye Center PCGroup PAC ID 4284604596, 6 clinicians

Practice addresses (Care Compare)

135 W Ravine Rd
Suite 2 C
Kingsport, TN 37660-3847
Phone (423) 246-7372

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery670

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Eye Center, PC Ophthalmology CurrentSince Jan 1, 2012 Accepting new patients
The Regional Eye Center, P.C. Ophthalmology CurrentSince Jan 1, 2012 Accepting new patients
Charleston Eye Care, PLLC Ophthalmology PastSince Oct 1, 2004 Accepting new patients
Southern Ohio Ophthalmic Anesthesia, LLC Past Accepting new patients
Southern Ohio Eye Surgical Associates LLC Ophthalmology PastSince Jan 1, 2020 Accepting new patients

Locations

135 W Ravine Rd
Ste 3
Kingsport, TN 37660

135 W Ravine Rd
Ste 2-C
Kingsport, TN 37660
Phone (423) 246-7372

Interoperability endpoints

  • Direct secure messaging: brandon.lee.p1@direct.regionaleye.nextgenshare.com

Organizations & group practices 5

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328486400000",
    "number": "1225080021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 W RAVINE RD",
            "address_2": "SUITE 2C",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376603847",
            "telephone_number": "423-246-7372",
            "fax_number": "423-578-4369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 W RAVINE RD",
            "address_2": "SUITE 2C",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376603847",
            "telephone_number": "423-246-7372",
            "fax_number": "423-578-4369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "BRANDON",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2012-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WV",
            "license": "22313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "103I181026",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

Verify at the official NPI Registry.