Active NPI
Douglas D Lee, O.D.
- Optometrist
- Boulder City, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 234
- Practice address
- 1627 Nevada Hwy
Boulder City, NV 89005-1908 - Phone
- (702) 294-2227
- NPI assigned
- Dec 5, 2007
- 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 | 234 | NV | Primary |
Addresses
Primary practice location
1627 Nevada Hwy
Boulder City, NV 89005-1908
Mailing address
1627 Nevada Hwy
Boulder City, NV 89005-1908
Phone (702) 294-2227
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002502008 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0234 | NV | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pritchett Eye Care PC | Optometrist | Current | Accepting new patients |
| Pritchett Eye Care PC | Optometrist | Current | Accepting new patients |
| Pritchett Eye Care PC | Optometrist | Current | Accepting new patients |
| Pritchett Eye Care PC | Optometrist | Past | Accepting new patients |
| Douglas D Lee OD LTD | Optometrist | Past | Accepting new patients |
Locations
8230 W Sahara Ave
Ste 121
Las Vegas, NV 89117
Phone (702) 944-2001
10870 W Charleston Blvd
Ste 105
Las Vegas, NV 89135
Phone (702) 877-3937
1601 E Basin Ave
Ste 101
Pahrump, NV 89060
Phone (775) 751-1791
5961 S Los Altos Pkwy
Ste 101
Sparks, NV 89436
Phone (775) 359-2020
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.
-
- Optometrist
- Sparks, NV
- NPI 1962717603
-
- Optometrist
- Boulder City, NV
- NPI 1578709853
-
- Optometrist
- Reno, NV
- NPI 1588061675
-
- Optometrist
- Sparks, NV
- NPI 1679889372
-
- Optometrist
- Pahrump, NV
- NPI 1730664327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231804800000",
"number": "1255513883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1627 NEVADA HWY",
"city": "BOULDER CITY",
"state": "NV",
"postal_code": "890051908",
"telephone_number": "702-294-2227",
"fax_number": "702-293-3723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1627 NEVADA HWY",
"city": "BOULDER CITY",
"state": "NV",
"postal_code": "890051908",
"telephone_number": "702-294-2227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "DOUGLAS",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-05",
"last_updated": "2009-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NV",
"license": "234",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002502008",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boulder City, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.