Individual provider Active NPI

Brandon Ronald Lee, OD

  • Optometrist
  • Lewisville, TX
National Provider Identifier
1477030567
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9531 Issued in TX
Practice address
2403 S Stemmons Fwy Ste 113
Lewisville, TX 75067-2314
Phone
(972) 459-2587
Fax
(469) 455-2095
NPI assigned
Jul 23, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 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 9531 TX Primary

Addresses

Primary practice location

2403 S Stemmons Fwy Ste 113
Lewisville, TX 75067-2314

Mailing address

1916 6TH St
Argyle, TX 76226-1398
Phone (972) 459-2587

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
I20191113001653 TX Practitioner - Optometry 8123450145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2403 S Stemmons Fwy
Suite 113
Lewisville, TX 75067-2314
Phone (954) 806-7162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eclipse Eye Care PLLC Optometrist CurrentSince Jan 27, 2023 Accepting new patients
National Vision, Inc. Past Accepting new patients

Locations

2403 S Stemmons Fwy
Ste 113
Lewisville, TX 75067
Phone (954) 806-7162

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.

NPI Registry JSON

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1477030567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 6TH ST",
            "city": "ARGYLE",
            "state": "TX",
            "postal_code": "762261398",
            "telephone_number": "972-459-2587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 S STEMMONS FWY STE 113",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750672314",
            "telephone_number": "972-459-2587",
            "fax_number": "469-455-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "BRANDON",
        "middle_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-23",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

Verify at the official NPI Registry.