Individual provider Active NPI

Dave H Lee, MD

  • Ophthalmology Physician
  • Colorado Springs, CO
National Provider Identifier
1366441206
Registry record updated Oct 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
42628 Issued in CO
Practice address
4110 Briargate Pkwy
Suite 440
Colorado Springs, CO 80920-7835
Phone
(719) 574-1654
Fax
(719) 574-5381
NPI assigned
Jul 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 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 42628 CO Primary

Addresses

Primary practice location

4110 Briargate Pkwy
Suite 440
Colorado Springs, CO 80920-7835

Mailing address

4110 Briargate Pkwy
Suite 440
Colorado Springs, CO 80920-7835
Phone (719) 574-1654

Other identifiers 1

IdentifierTypeStateIssuer
96201762MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20040618000423 CO Practitioner - Pediatric MedicinePractitioner - Ophthalmology 9032194733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Ophthalmology
Education
Saint Louis University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Childrens Eye Center PCGroup PAC ID 5294710919, 3 clinicians

Practice addresses (Care Compare)

8890 N Union Blvd
Suite 205
Colorado Springs, CO 80920-2701
Phone (719) 574-1654

8890 N Union Blvd
Suite 205
Colorado Springs, CO 80920-2702

Hospital & facility affiliations

  • Centura Health-Penrose St Francis Health Services Hospital, Colorado Springs, CO, CCN 060031

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42628COMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Eye Center PC Ophthalmology CurrentSince Aug 1, 2004 Accepting new patients
Uch-MHS Past Accepting new patients

Locations

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

4110 Briargate Pkwy
Ste 440
Colorado Springs, CO 80920
Phone (719) 574-1654

8890 N Union Blvd
Ste 205
Colorado Springs, CO 80920
Phone (719) 574-1654

3910 S Carefree Cir
Ste F
Colorado Springs, CO 80917
Phone (719) 463-7725

Interoperability endpoints

  • Direct secure messaging: dlee@cheye.intellechartdirect.net

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286496000000",
    "number": "1366441206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 BRIARGATE PKWY",
            "address_2": "SUITE 440",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207835",
            "telephone_number": "719-574-1654",
            "fax_number": "719-574-5381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 BRIARGATE PKWY",
            "address_2": "SUITE 440",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207835",
            "telephone_number": "719-574-1654",
            "fax_number": "719-574-5381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "DAVE",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2010-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "42628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "96201762",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.