Individual provider Active NPI

Sydney Elizabeth Lee, OD

  • Optometrist
  • Indianapolis, IN
National Provider Identifier
1508603853
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18004525A Issued in IN
Practice address
860 E 86TH St Ste 2
Indianapolis, IN 46240-6860
Phone
(317) 848-7755
Fax
(317) 848-7766
NPI assigned
Jul 12, 2024
Last updated
Jul 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18004525A IN Primary

Addresses

Primary practice location

860 E 86TH St Ste 2
Indianapolis, IN 46240-6860

Mailing address

10443 Beacon LN
Indianapolis, IN 46256-9743
Phone (317) 373-3617

Other practice location 1

10967 Allisonville Rd Ste 120
Fishers, IN 46038-2634
Phone (317) 577-0707

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
I20240821004736 IN Practitioner - Optometry 6709325798 Reassigns benefits to 2 organizations

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
Aecc LLCGroup PAC ID 4880046424, 3 clinicians
Indy Eye Care LLCGroup PAC ID 7911222039, 3 clinicians

Practice addresses (Care Compare)

10967 Allisonville Rd
Suite 120
Fishers, IN 46038-2634
Phone (317) 902-4239

860 E 86TH St
Suite 2
Indianapolis, IN 46240-6860
Phone (317) 848-7755

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Indy Eye Care LLC Optometrist CurrentSince Aug 13, 2024 Accepting new patients
Nora Eye Care, P.C. Optometrist CurrentSince Jul 21, 2024 Accepting new patients
Aecc LLC Optometrist CurrentSince Aug 6, 2024 Accepting new patients
Allisonville Eye Care Center, Inc CurrentSince Aug 6, 2024 Accepting new patients

Locations

10967 Allisonville Rd
Ste 120
Fishers, IN 46038
Phone (317) 577-0707

860 E 86th St
Ste 2
Indianapolis, IN 46240
Phone (317) 848-7755

Organizations & group practices 4

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": "1720742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1508603853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10443 BEACON LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462569743",
            "telephone_number": "317-373-3617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 E 86TH ST STE 2",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462406860",
            "telephone_number": "317-848-7755",
            "fax_number": "317-848-7766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10967 Allisonville Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Fishers",
            "state": "IN",
            "postal_code": "460382634",
            "country_code": "US",
            "telephone_number": "317-577-0707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "SYDNEY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-12",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004525A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.