Individual provider Active NPI

Shelly Lee, MD

  • Ophthalmology Physician
  • Spokane, WA
National Provider Identifier
1285817288
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD60998995 Issued in WA
Practice address
427 S Bernard St
Spokane, WA 99204-2509
Phone
(509) 456-0107
Fax
(509) 747-2635
NPI assigned
Dec 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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 MD60998995 WA Primary

Addresses

Primary practice location

427 S Bernard St
Spokane, WA 99204-2509

Mailing address

427 S Bernard St
Spokane, WA 99204-2509
Phone (509) 456-0107

Other practice location 1

31 E Central Ave
Spokane, WA 99208-1164
Phone (509) 489-1270

Other practice location 2

16201 E Indiana Ave Ste 5000
Spokane Valley, WA 99216-1883
Phone (509) 924-7271

Other practice location 3

9651 N Nevada St
Spokane, WA 99218-1132
Phone (509) 456-0107

Other practice location 4

427 S Bernard St Ste 200
Spokane, WA 99204-2509
Phone (509) 456-8150

Other identifiers 1

IdentifierTypeStateIssuer
02145535MedicaidWA

Other names 1

  • Shelly Tina Lee Professional name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address shelly.lee.p2@direct.spokaneeye.nextgenshare.com Direct Spokane Eye Clinic PS
FHIR URL https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/ Other Spokane Eye Clinic PS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20200123001098 WA Practitioner - Ophthalmology 5496827321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Duke University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spokane Eye Clinic PSGroup PAC ID 1759278393, 36 clinicians

Practice addresses (Care Compare)

427 S Bernard St
Spokane, WA 99204-2509
Phone (509) 456-0107

Merit-based Incentive Payment System (MIPS)

Final score
90.64 of 100Reported as group
Quality
92.23
Promoting interoperability
100
Improvement activities
40
Cost
76.58

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spokane Eye Clinic PS Ophthalmology CurrentSince Jan 5, 2020 Accepting new patients
Spokane Eye Clinic PS Ophthalmology CurrentSince Jan 5, 2020 Accepting new patients
Associated Retinal Consultants LLC Ophthalmology Current Accepting new patients

Locations

31 E Central Ave
Spokane, WA 99208
Phone (509) 456-0107

427 S Bernard St
Spokane, WA 99204
Phone (509) 456-0107

9651 N Nevada St
Spokane, WA 99218
Phone (509) 363-2180

427 S Bernard St
Ste 200
Spokane, WA 99204
Phone (509) 456-8150

16201 E Indiana Ave
Ste 5000
Spokane Valley, WA 99216
Phone (509) 456-0107

Interoperability endpoints

  • Direct secure messaging: slee@arcnj.intellechartdirect.net
  • Direct secure messaging: shelly.lee.p2@direct.spokaneeye.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1285817288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 S BERNARD ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042509",
            "telephone_number": "509-456-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 S BERNARD ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042509",
            "telephone_number": "509-456-0107",
            "fax_number": "509-747-2635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31 E Central Ave",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992081164",
            "country_code": "US",
            "telephone_number": "509-489-1270",
            "fax_number": "509-483-6547",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16201 E Indiana Ave Ste 5000",
            "address_purpose": "LOCATION",
            "city": "Spokane Valley",
            "state": "WA",
            "postal_code": "992161883",
            "country_code": "US",
            "telephone_number": "509-924-7271",
            "fax_number": "509-928-7802",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9651 N Nevada St",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992181132",
            "country_code": "US",
            "telephone_number": "509-456-0107",
            "fax_number": "509-747-2635",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "427 S Bernard St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992042509",
            "country_code": "US",
            "telephone_number": "509-456-8150",
            "fax_number": "509-456-0741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "SHELLY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-12",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD60998995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02145535",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shelly.lee.p2@direct.spokaneeye.nextgenshare.com",
            "affiliation": "Y",
            "endpointDescription": "Secure communication",
            "affiliationName": "Spokane Eye Clinic PS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Referrals or Continuity of Care",
            "address_1": "427 S Bernard St",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992042509",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/",
            "affiliation": "Y",
            "affiliationName": "Spokane Eye Clinic PS",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "API",
            "address_1": "427 S Bernard St",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992042509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SHELLY",
            "last_name": "LEE",
            "middle_name": "TINA",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.