Active NPI
Matthew K Lee, OD
- Optometrist
- Oregon City, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2019021081
- Practice address
- 1306 Division St
Oregon City, OR 97045-1523 - Phone
- (503) 656-4221
- Fax
- (503) 656-4249
- NPI assigned
- Jun 17, 2019
- 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 | 2019021081 | MO | Primary |
Addresses
Primary practice location
1306 Division St
Oregon City, OR 97045-1523
Mailing address
PO Box 22009
Portland, OR 97269-2009
Phone (503) 558-7372
Other practice location 1
3940 Lindell Blvd
Saint Louis, MO 63108-3204
Phone (314) 516-5016
Other practice location 2
7840 Natural Bridge Blvd
Patient Care Center
St Louis, MO 63121
Phone (314) 516-5131
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1306 Division St
Oregon City, OR 97045-1596
Phone (503) 656-4221
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.74 of 100
- Quality
- 85.23
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.25
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019021081 | MO | MD | Optometrist |
| 4552 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Health Northwest, PC | Current | Accepting new patients | |
| Eye Health Northwest P.C. | Optometrist | Current | Accepting new patients |
Locations
1306 Division St
Oregon City, OR 97045
Phone (503) 656-4221
11086 SE Oak St
Portland, OR 97222
Phone (503) 557-2020
29250 SW Town Center Loop W
Wilsonville, OR 97070
Phone (503) 344-5102
Interoperability endpoints
- matthew.lee@direct.ehnpc.nextgenshare.com
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.
-
- Ophthalmology Physician
- Milwaukie, OR
- NPI 1619959731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614902400000",
"number": "1285294892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22009",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972692009",
"telephone_number": "503-558-7372",
"fax_number": "503-344-5140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1306 DIVISION ST",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970451523",
"telephone_number": "503-656-4221",
"fax_number": "503-656-4249"
}
],
"practiceLocations": [
{
"address_1": "3940 Lindell Blvd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631083204",
"country_code": "US",
"telephone_number": "314-516-5016",
"fax_number": "314-535-4741",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7840 NATURAL BRIDGE BLVD",
"address_2": "PATIENT CARE CENTER",
"address_purpose": "LOCATION",
"city": "ST LOUIS",
"state": "MO",
"postal_code": "63121",
"country_code": "US",
"telephone_number": "314-516-5131",
"fax_number": "314-516-5507",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "MATTHEW",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-17",
"last_updated": "2021-03-05",
"certification_date": "2021-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "2019021081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oregon City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; 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.