Individual provider Active NPI

Brian Lee, O.D.

  • Optometrist
  • Houston, TX
National Provider Identifier
1356574503
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10139 Issued in TX
Practice address
3450 Cypress Creek Pkwy
Walmart Vision
Houston, TX 77068-3606
Phone
(346) 763-7392
Fax
(585) 385-7969
NPI assigned
Sep 3, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10139 TX Primary

Addresses

Primary practice location

3450 Cypress Creek Pkwy
Walmart Vision
Houston, TX 77068-3606

Mailing address

3450 Cypress Creek Pkwy
Walmart Vision
Houston, TX 77068-3606
Phone (346) 763-7392

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231004003087 TX Practitioner - Optometry 2062551104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3450 Cypress Creek Pkwy
Houston, TX 77068-3606
Phone (346) 763-7392

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13813CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Brian Lee, Optometry, PLLC Optometrist CurrentSince Aug 11, 2023 Accepting new patients
Brian Lee, O.D. Professional Corporation Optometrist PastSince Apr 17, 2013 Accepting new patients
Memorial Medical Group Inc Past Accepting new patients
Luxottica of America Inc. Past Accepting new patients
Luxottica of America Inc Past Accepting new patients

Locations

3450 FM 1960 Rd W
Houston, TX 77068
Phone (281) 444-1738

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1356574503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 CYPRESS CREEK PKWY",
            "address_2": "WALMART VISION",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770683606",
            "telephone_number": "346-763-7392",
            "fax_number": "585-385-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 CYPRESS CREEK PKWY",
            "address_2": "WALMART VISION",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770683606",
            "telephone_number": "346-763-7392",
            "fax_number": "585-385-7969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-03",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.