Individual provider Active NPI

Matthew K Lee, OD

  • Optometrist
  • Oregon City, OR
National Provider Identifier
1285294892
Registry record updated Mar 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2019021081 Issued in MO
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

Updated by the provider on Mar 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210204001735 OR Practitioner - Optometry 8224364724 Reassigns benefits to 1 organization

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
Eye Health Northwest PCGroup PAC ID 9234039926, 72 clinicians

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 100Reported as group
Quality
85.23
Promoting interoperability
100
Improvement activities
40
Cost
77.25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2019021081MOMDOptometrist
4552ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Health Northwest, PC CurrentSince Jan 25, 2021 Accepting new patients
Eye Health Northwest P.C. Optometrist CurrentSince Jan 25, 2021 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.