Individual provider Active NPI

Mackenzie Lee, OD

  • Optometrist
  • Indianapolis, IN
National Provider Identifier
1427935501
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18004614A Issued in IN
Practice address
9002 N Meridian St Ste 100
Indianapolis, IN 46260-2301
Phone
(317) 844-5530
NPI assigned
Aug 19, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18004614A IN Primary

Addresses

Primary practice location

9002 N Meridian St Ste 100
Indianapolis, IN 46260-2301

Mailing address

9002 N Meridian St Ste 100
Indianapolis, IN 46260-5354
Phone (317) 844-5530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20260407002714 IN Practitioner - Optometry 7618442690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Corneal Consultants of IndianaGroup PAC ID 5395790497, 9 clinicians

Practice addresses (Care Compare)

9002 N Meridian St
Suite 100
Indianapolis, IN 46260-2301
Phone (317) 844-5530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18004614AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Corneal Consultants of Indiana PastSince Aug 25, 2025 Accepting new patients

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/mi-priceeye

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1755561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1427935501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9002 N MERIDIAN ST STE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605354",
            "telephone_number": "317-844-5530",
            "fax_number": "317-844-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9002 N MERIDIAN ST STE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602301",
            "telephone_number": "317-844-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MACKENZIE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-19",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004614A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.