Individual provider Active NPI

Kristy Renee Robinson-Lee, O.D.

  • Optometrist
  • Madison Heights, VA
National Provider Identifier
1376553115
Registry record updated Jan 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001333 Issued in VA
Practice address
5076 S Amherst Hwy
Madison Heights, VA 24572-2491
Phone
(434) 846-7822
NPI assigned
Aug 8, 2006
Last updated
Jan 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001333 VA Primary

Addresses

Primary practice location

5076 S Amherst Hwy
Madison Heights, VA 24572-2491

Mailing address

PO Box 1000
Madison Heights, VA 24572-1000
Phone (434) 846-7822

Other identifiers 1

IdentifierTypeStateIssuer
010167141MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20040517001136 VA Practitioner - Optometry 5092705491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Madison Heights Eye Care PC OptometristsGroup PAC ID 4284665928, 2 clinicians

Practice addresses (Care Compare)

5076 S Amherst Hwy
Madison Heights, VA 24572-2491
Phone (434) 846-7822

Merit-based Incentive Payment System (MIPS)

Final score
85.44 of 100Reported as group
Quality
70.87
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618001333VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Madison Heights Eye Care PC Optometrists Optometrist CurrentSince Sep 1, 2005 Accepting new patients

Locations

5076 S Amherst Hwy
Madison Hts, VA 24572
Phone (434) 846-7822

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579564800000",
    "number": "1376553115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000",
            "city": "MADISON HEIGHTS",
            "state": "VA",
            "postal_code": "245721000",
            "telephone_number": "434-846-7822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5076 S AMHERST HWY",
            "city": "MADISON HEIGHTS",
            "state": "VA",
            "postal_code": "245722491",
            "telephone_number": "434-846-7822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON-LEE",
        "first_name": "KRISTY",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010167141",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison Heights, VA

Sources for this page

Verify at the official NPI Registry.