Individual provider Active NPI

Lee Walker Coleman, M.D.

  • Ophthalmology Physician
  • Greenwood, MS
National Provider Identifier
1336147271
Registry record updated Apr 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
17155 Issued in MS
Practice address
2005 Highway 82 W
Greenwood, MS 38930-2720
Phone
(662) 455-4523
Fax
(662) 455-3790
NPI assigned
Jul 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2010

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 17155 MS Primary

Addresses

Primary practice location

2005 Highway 82 W
Greenwood, MS 38930-2720

Mailing address

2005 Highway 82 W
Greenwood, MS 38930-2720
Phone (662) 455-4523

Other identifiers 2

IdentifierTypeStateIssuer
09501091MedicaidMS
P00059133OtherMSR/R MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20040512000063 MS Practitioner - Ophthalmology 3678562873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Mississippi School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coleman Eye Center PLLCGroup PAC ID 1254320450, 2 clinicians

Practice addresses (Care Compare)

2005 Hwy 82 W
Greenwood, MS 38930-2720
Phone (662) 455-4523

Merit-based Incentive Payment System (MIPS)

Final score
94.86 of 100Reported as group
Quality
89.72
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery934

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17155MSMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coleman Eye Center, PLLC Ophthalmology CurrentSince Jul 1, 2003 Accepting new patients
Coleman Cataract and Eye Laser Surgery Center, Inc Current Accepting new patients

Locations

2005 Highway 82 W
Greenwood, MS 38930
Phone (662) 455-3790

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": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271376000000",
    "number": "1336147271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 HIGHWAY 82 W",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389302720",
            "telephone_number": "662-455-4523",
            "fax_number": "662-455-3790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 HIGHWAY 82 W",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389302720",
            "telephone_number": "662-455-4523",
            "fax_number": "662-455-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "LEE",
        "middle_name": "WALKER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2010-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MS",
            "license": "17155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09501091",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "R/R MEDICARE",
            "identifier": "P00059133",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, MS

Sources for this page

Verify at the official NPI Registry.