NPIMap

Organization Active NPI

Andy M Lee MD PA

  • Ophthalmology Physician
  • Duncanville, TX
National Provider Identifier
1346352648
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
H6009 Issued in TX
Legal business name
ANDY M LEE MD PA
Practice address
388 E Hwy 67
Duncanville, TX 75137-4159
Phone
(972) 296-2020
Fax
(972) 296-0992
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Authorized official

Name
Dr. Andy Matthew Lee, MDNPI 1285746578
Title
President
Phone
(972) 296-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X H6009 TX Primary
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 1

IdentifierTypeStateIssuer
00661GOtherTXBLUE CROSS BLUE SHIELD

Other names 1

  • Total Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050609000190 TX Part B Supplier - Clinic/Group Practice 4385687441 Receives reassigned benefits from 9 practitioners
Practice locations: Duncanville, TX

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1346352648",
    "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": {
        "organization_name": "ANDY M LEE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ANDY",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-296-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "H6009",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY 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"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Duncanville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.