Individual provider Active NPI

Leeann Salot Webster, MD

  • Ophthalmology Physician
  • Muskegon, MI
National Provider Identifier
1285617613
Registry record updated Apr 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301057650 Issued in MI
Practice address
1266 East Sherman Blvd
Muskegon, MI 49444
Phone
(231) 739-9009
Fax
(231) 733-0566
NPI assigned
Nov 21, 2005
Last updated
Apr 12, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 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 4301057650 MI Primary

Addresses

Primary practice location

1266 East Sherman Blvd
Muskegon, MI 49444

Mailing address

1266 E Sherman Blvd
Muskegon, MI 49444
Phone (231) 739-9009

Other identifiers 1

IdentifierTypeStateIssuer
3289843MedicaidMI

Other names 1

  • Miss Lee Ann Salot Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20120519000098 MI Practitioner - Ophthalmology 2860404258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Wayne State University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shoreline Ophthalmology PLLCGroup PAC ID 3678537628, 14 clinicians

Practice addresses (Care Compare)

1266 E Sherman Blvd
Muskegon, MI 49444-1847
Phone (231) 739-9009

Merit-based Incentive Payment System (MIPS)

Final score
80.4 of 100Reported as group
Quality
89.51
Promoting interoperability
100
Improvement activities
40
Cost
45.15

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301057650MIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shoreline Ophthalmology, PLLC CurrentSince Aug 28, 2000 Accepting new patients
Shoreline Ophthalmology, PLLC Ophthalmology CurrentSince Aug 28, 2000 Accepting new patients
Shoreline Optical, LLC PastSince Jun 26, 2015 Accepting new patients

Locations

1401 W Main St
Ste 101
Fremont, MI 49412
Phone (231) 739-9009

1445 Sheldon Rd
Ste 100
Grand Haven, MI 49417
Phone (231) 739-9009

1266 E Sherman Blvd
Muskegon, MI 49444
Phone (231) 737-4727

301 Center St
North Muskegon, MI 49445
Phone (231) 739-9009

3375 McCracken St
Norton Shores, MI 49441
Phone (231) 739-9009

625 E Savidge St
Spring Lake, MI 49456
Phone (616) 844-5650

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334188800000",
    "number": "1285617613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1266 E SHERMAN BLVD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "49444",
            "telephone_number": "231-739-9009",
            "fax_number": "231-733-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1266 EAST SHERMAN BLVD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "49444",
            "telephone_number": "231-739-9009",
            "fax_number": "231-733-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALOT WEBSTER",
        "first_name": "LEEANN",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-21",
        "last_updated": "2012-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301057650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3289843",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEE",
            "last_name": "SALOT",
            "middle_name": "ANN",
            "prefix": "MISS",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Muskegon, MI

Sources for this page

Verify at the official NPI Registry.