Individual provider Active NPI

Dorothy Lea

  • Optometrist
  • Burtonsville, MD
National Provider Identifier
1396166773
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA3087 Issued in MD
Practice address
15781 Old Columbia Pike
Burtonsville, MD 20866-1030
Phone
(240) 817-3851
NPI assigned
Jan 2, 2014
Last updated
Jul 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9380 TX
Optometrist 152W00000X 14776 CA
Optometrist 152W00000X TA3087 MD Primary
Corneal and Contact Management Optometrist 152WC0802X 14776 CA
Low Vision Rehabilitation Optometrist 152WL0500X 14776 CA
Pediatric Optometrist 152WP0200X 14776 CA
Sports Vision Optometrist 152WS0006X 14776 CA
Vision Therapy Optometrist 152WV0400X 14776 CA
Occupational Vision Optometrist 152WX0102X 14776 CA

Addresses

Primary practice location

15781 Old Columbia Pike
Burtonsville, MD 20866-1030

Mailing address

15529 Azalea Dr
Tustin, CA 92782-1901
Phone (301) 325-7218

Other practice location 1

15529 Azalea Dr
Tustin, CA 92782-1901
Phone (301) 325-7218

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MD, DC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20181221000871 TX Practitioner - Optometry 7012252935 Reassigns benefits to 3 organizations
I20250725000052 MD Practitioner - Optometry 7012252935 Reassigns benefits to 1 organization
I20250728003174 DC Practitioner - Optometry 7012252935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Maryland LLCGroup PAC ID 6002037629, 121 clinicians

Practice addresses (Care Compare)

15781 Old Columbia Pike
Burtonsville, MD 20866-1030
Phone (240) 817-3851

19814 Century Blvd
Germantown, MD 20874-1198
Phone (301) 540-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9380TXMDGeneral Practice Dentistry
TA3087MDMDOptometrist
14776CAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Jul 1, 2025 Accepting new patients
Elite Vision Group, PLLC Optometrist CurrentSince Feb 23, 2025 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Jul 1, 2025 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist Current Accepting new patients
Bristol Family Eyecare, PC Optometrist CurrentSince Jan 1, 2019 Accepting new patients
Lone Star Eye PLLC Optometrist CurrentSince Sep 14, 2022 Accepting new patients
Silver Spring Optometry, LLC Optometrist Past Accepting new patients

Locations

15781 Old Columbia Pike
Burtonsville, MD 20866
Phone (240) 817-3851

2936 Festival Way
Ste 409A
Waldorf, MD 20601
Phone (301) 710-6919

1201 Barbara Jordan Blvd
Ste 1480
Austin, TX 78723
Phone (512) 320-1968

7415 Southwest Pkwy
Bldg 6
Austin, TX 78735
Phone (512) 328-7300

7415 Southwest Pkwy
Ste 300
Austin, TX 78735
Phone (512) 328-7300

9600 S Interstate 35
Ste S225
Austin, TX 78748
Phone (512) 291-0876

14058 Bee Cave Pkwy
Ste A
Bee Cave, TX 78738
Phone (512) 263-2544

5400 Brodie Ln
#700B
Sunset Valley, TX 78745

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 8

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": "1388620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1396166773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15529 AZALEA DR",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927821901",
            "telephone_number": "301-325-7218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15781 OLD COLUMBIA PIKE",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208661030",
            "telephone_number": "240-817-3851"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15529 Azalea Dr",
            "address_purpose": "LOCATION",
            "city": "Tustin",
            "state": "CA",
            "postal_code": "927821901",
            "country_code": "US",
            "telephone_number": "301-325-7218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEA",
        "first_name": "DOROTHY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-02",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9380",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14776",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA3087",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "14776",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "CA",
            "license": "14776",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "CA",
            "license": "14776",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "CA",
            "license": "14776",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CA",
            "license": "14776",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "CA",
            "license": "14776",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burtonsville, MD

Sources for this page

Verify at the official NPI Registry.