Active NPI
Barbara J Lee, O.D.
- Optometrist
- Phoenix, AZ
National Provider Identifier
1306958566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 880
- Practice address
- 10001 N Metro Pkwy W
Phoenix, AZ 85051-1405 - Phone
- (602) 759-0540
- NPI assigned
- Aug 31, 2006
- Last updated
- Apr 29, 2015
- Sex
- Female
- 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 | 880 | AZ | Primary |
Addresses
Primary practice location
10001 N Metro Pkwy W
Phoenix, AZ 85051-1405
Mailing address
17780 Arrowhead Town Center
Glendale, AZ 85308
Phone (602) 759-0540
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0902320 | Other | AZ | BLUE CROSS BLUE SHIELD |
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: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3238 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| US Health Dept of Health & Human Services | Current | Accepting new patients | |
| U S Health Dept of Health & Human Services | Current | Accepting new patients | |
| US Health Dept of Health & Human Services | Current | Accepting new patients | |
| Family Eyecare of Scottsdale, PLC | Optometrist | Past | Accepting new patients |
| Family Eyecare Associates of Az PLC | Optometrist | Past | Accepting new patients |
| Don Sealock, O.D., P.a. | Optometrist | Past | Accepting new patients |
| Hometown Eye Care, Inc | Optometrist | Past | Accepting new patients |
Locations
669 Agency Main St
Harlem, MT 59526
Phone (406) 353-3100
Organizations & group practices 7
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.
-
dba Lodge Grass Clinic
- Critical Access Hospital
- Lodge Grass, MT
- NPI 1750410395
-
dba Crow/Northern Cheyenne Hospital
- Critical Access Hospital
- Crow Agency, MT
- NPI 1548393358
-
- Optometrist
- Scottsdale, AZ
- NPI 1427192913
-
- Optometrist
- Scottsdale, AZ
- NPI 1356576052
-
- Optometrist
- Big Lake, MN
- NPI 1841221785
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": "1430265600000",
"number": "1306958566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17780 ARROWHEAD TOWN CENTER",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "85308",
"telephone_number": "602-759-0540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10001 N METRO PKWY W",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850511405",
"telephone_number": "602-759-0540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "BARBARA",
"middle_name": "J",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2015-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "880",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "AZ0902320",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.