Individual provider Active NPI

Priscilla Lee, O.D.

  • Optometrist
  • Prescott, AZ
National Provider Identifier
1235126129
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1143 Issued in AZ
Practice address
1781 E Highway 69
Suite 55
Prescott, AZ 86301-5666
Phone
(928) 776-3096
Fax
(928) 776-7917
NPI assigned
Oct 5, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.0003886 CO
Optometrist 152W00000X OEG003988 PA
Optometrist 152W00000X 1143 AZ Primary

Addresses

Primary practice location

1781 E Highway 69
Suite 55
Prescott, AZ 86301-5666

Mailing address

220 N McKemy Ave
Chandler, AZ 85226-2654
Phone (480) 961-1865

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, PA, CO, CA, NY5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20040621000067 AZ Practitioner - Optometry 5092790592 Reassigns benefits to 5 organizations
I20230517000333 PA Practitioner - Optometry 5092790592 Reassigns benefits to 4 organizations
I20230518003534 CO Practitioner - Optometry 5092790592 Reassigns benefits to 5 organizations
I20240223000453 CA Practitioner - Optometry 5092790592 Reassigns benefits to 3 organizations
I20241114002174 NY Practitioner - Optometry 5092790592 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011095NYMDPsychologist
1143AZMDOptometrist
OPT.0003886COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
John H McDougall OD Arizona PC Optometrist CurrentSince Jan 1, 2026 Accepting new patients
Empire Vision Center Inc Optometrist CurrentSince Oct 4, 2024 Accepting new patients
Fifth Optometric Care of California Optometrist CurrentSince Jul 7, 2025 Accepting new patients
Family First Vision Care Colorado LLC Optometrist CurrentSince May 24, 2023 Accepting new patients
Myeyedr Optometry of Colorado PC Optometrist CurrentSince Sep 7, 2023 Accepting new patients
Family First Vision Care Arizona PLLC Optometrist CurrentSince Jul 18, 2023 Accepting new patients
200 West Optics, LLC Optometrist CurrentSince Feb 2, 2026 Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist CurrentSince May 4, 2023 Accepting new patients
Family First Vision Care Arizona PLLC Optometrist CurrentSince Jul 18, 2023 Accepting new patients
Aeg Pennsylvania Professional Inc Optometrist CurrentSince May 6, 2024 Accepting new patients
Visionworks, Inc CurrentSince Feb 1, 2024 Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist Current Accepting new patients
West Point Optical Group Optometrist CurrentSince Aug 28, 2023 Accepting new patients
Raza Uddin OD LLC Optometrist CurrentSince Aug 26, 2025 Accepting new patients
200 West Optics, LLC Optometrist CurrentSince Feb 2, 2026 Accepting new patients
Fifth Optometric Care of California Optometrist CurrentSince Jul 7, 2025 Accepting new patients
Troy Humphreys OD Faao, Professional Corporation Optometrist CurrentSince Jan 23, 2024 Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist CurrentSince May 4, 2023 Accepting new patients
Yah Vision LLC Optometrist CurrentSince Apr 1, 2023 Accepting new patients
Visionworks, Inc. Optometrist CurrentSince Feb 1, 2024 Accepting new patients
Abba Eye Care PC Optometrist CurrentSince Jun 5, 2023 Accepting new patients
Myeyedr Optometry of Colorado PC Optometrist CurrentSince Sep 7, 2023 Accepting new patients
Yah Vision Optometrist Current Accepting new patients
Empire Vision Center, Inc CurrentSince Oct 4, 2024 Accepting new patients
Raza Uddin OD LLC Optometrist CurrentSince Aug 26, 2025 Accepting new patients
Abba Eye Care PC Optometrist CurrentSince Jun 5, 2023 Accepting new patients
Myeyedr Optometry of Colorado PC Optometrist Current Accepting new patients
200 West Optics, LLC Optometrist Past Accepting new patients
S L Christensen O D & Assoc P C Optometrist Past Accepting new patients
West Point Optical Group Optometrist Past Accepting new patients
Nationwide Optometry P.C. Optometrist Past Accepting new patients
Nationwide Optometry P.C. Optometrist Past Accepting new patients
Optometric Special Testing Centers, Inc. Optometrist Past Accepting new patients

Locations (25 of 32)

545 N Peart Rd
Casa Grande, AZ 85122
Phone (520) 316-5590

937 N Dobson Rd
Ste 102
Mesa, AZ 85201
Phone (480) 649-6100

6615 N Oracle Rd
Tucson, AZ 85704
Phone (520) 797-8000

1001 Sylvan Ave
Ste B
Modesto, CA 95350
Phone (209) 575-2020

3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564

600 Ash St
Susanville, CA 96130
Phone (530) 257-3636

1130 Lake Plaza Dr
Ste 130
Colorado Springs, CO 80906
Phone (719) 578-2020

611 24 Rd
Ste 1
Grand Junction, CO 81505
Phone (970) 242-5412

2867 35th Ave
Greeley, CO 80634
Phone (970) 346-1411

200 W County Line Rd
Ste 150
Highlands Ranch, CO 80129
Phone (303) 794-2433

314 Colorado Ave
La Junta, CO 81050
Phone (303) 544-8331

8441 S Yosemite St
Ste 2
Lone Tree, CO 80124
Phone (303) 768-8721

2568 Taylor Ln
Pueblo, CO 81005
Phone (719) 733-3060

1650 W US Highway 50
Pueblo, CO 81008
Phone (719) 542-1222

1021 N Market Plz
Ste 110
Pueblo West, CO 81007
Phone (719) 257-3959

2680 Delaware Ave
Ste C
Buffalo, NY 14216
Phone (716) 873-1241

2127 Crompond Rd
Ste 101
Cortlandt Mnr, NY 10567
Phone (914) 737-2020

560 Troy Schenectady Rd
#7
Latham, NY 12110
Phone (518) 783-0090

1930 South Rd
#105
Poughkeepsie, NY 12601
Phone (845) 298-3200

2590 W Ridge Rd
Rochester, NY 14626
Phone (585) 227-7150

2921 Erie Blvd E
Syracuse, NY 13224
Phone (315) 446-3145

1765 Central Park Ave
Yonkers, NY 10710
Phone (914) 961-1004

316 S Hamilton Rd
Gahanna, OH 43230

319 York Rd
Carlisle, PA 17013
Phone (717) 258-4422

560 Millcreek Mall
Erie, PA 16565
Phone (814) 868-8540

Networks

  • UT PPO
  • UT PPO D-SNP

Interoperability endpoints

  • Direct secure messaging: dr.priscilla.lee@direct.eyecare-partners.com

Organizations & group practices 37

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.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1235126129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N MCKEMY AVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262654",
            "telephone_number": "480-961-1865",
            "fax_number": "480-961-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1781 E HIGHWAY 69",
            "address_2": "SUITE 55",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863015666",
            "telephone_number": "928-776-3096",
            "fax_number": "928-776-7917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "PRISCILLA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-05",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003886",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003988",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

Verify at the official NPI Registry.