Individual provider Active NPI

Andy Matthew Lee, MD

  • Ophthalmology Physician
  • Duncanville, TX
National Provider Identifier
1285746578
Registry record updated Dec 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
J6009 Issued in TX
Practice address
388 E Hwy 67
Duncanville, TX 75137-4159
Phone
(972) 296-2020
Fax
(972) 296-0992
NPI assigned
Aug 31, 2006
Last updated
Dec 3, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X J6009 TX Primary
Ophthalmology Physician 207W00000X 10613R LA

Addresses

Primary practice location

388 E Hwy 67
Duncanville, TX 75137-4159

Mailing address

388 E Hwy 67
Duncanville, TX 75137-4159
Phone (972) 296-2020

Other identifiers 2

IdentifierTypeStateIssuer
00661GOtherTXBLUE CROSS BLUE SHIELD
111874704MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20050609000215 TX Practitioner - Ophthalmology 0749223808 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Andy M Lee MD PAGroup PAC ID 4385687441, 4 clinicians

Practice addresses (Care Compare)

388 E Hwy 67
Duncanville, TX 75137-4159
Phone (972) 296-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery279

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10613RLAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Andy M Lee MD PA Ophthalmology CurrentSince Feb 1, 1999 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Oct 5, 2013 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Ophthalmology CurrentSince Oct 5, 2013 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Good Rams Partners LP PastSince Feb 1, 1999 Accepting new patients

Locations

5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396

388 E Highway 67
Duncanville, TX 75137
Phone (972) 296-2020

614 W Wheatland Rd
Duncanville, TX 75116
Phone (972) 296-2020

Interoperability endpoints

  • Direct secure messaging: andy.lee@direct.totaleyecaretexas.nextgenshare.com

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, 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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228262400000",
    "number": "1285746578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 E HWY 67",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751374159",
            "telephone_number": "972-296-2020",
            "fax_number": "972-296-0992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 E HWY 67",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751374159",
            "telephone_number": "972-296-2020",
            "fax_number": "972-296-0992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ANDY",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "J6009",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "10613R",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00661G",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111874704",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncanville, TX

Sources for this page

Verify at the official NPI Registry.