Sandra Sungmee Ahn-Lee, MD

Individual provider Active NPI Ophthalmology Physician · Bay Shore, NY

NPI 1528028941 · NPPES record last updated Dec 6, 2013

Key facts

NPI
1528028941
Entity type
Individual (NPI type 1)
Primary specialty
Ophthalmology Physician 207W00000X
License
181952 (NY)
Practice address
180 E Main St
Suite 1
Bay Shore, NY 11706
Phone
(631) 665-3918
Fax
(631) 665-1818
NPI assigned
Mar 28, 2006
Sex
Female
Sole proprietor
No

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Ophthalmology
Education
State University of New York at Stony Brook, School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sight Medical Doctors PLLC (115 clinicians)

Practice addresses (Care Compare)

260 E Middle Country Rd
Suite 201
Smithtown, NY 11787-2925
Phone (631) 265-8780

Hospital & facility affiliations

  • Good Samaritan Hospital Medical Center Hospital · West Islip, NY · CCN 330286

Merit-based Incentive Payment System (MIPS)

Final score
91.5 of 100 (group)
Quality
90
Improvement activities
40

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20091002000180 NY Practitioner - Ophthalmology 8527104793 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles (2 of 6)

OrganizationSpecialtyStatusNew patients
Sight Medical Doctors PLLC Current
since Mar 1, 2015
Accepting new patients
Sight Medical Doctors PLLC Ophthalmology Current
since Mar 1, 2015
Accepting new patients

Locations

180 E Main St
Ste 3
Bay Shore, NY 11706
Phone (631) 665-3918

180 E Main St
Ste 1
Bay Shore, NY 11706
Phone (631) 665-3918

375 E Main St
Ste 24
Bay Shore, NY 11706
Phone (631) 665-1330

180 E Main St
Bay Shore, NY 11706
Phone (631) 665-0027

601 Suffolk Ave
Brentwood, NY 11717
Phone (631) 231-4384

125 Kennedy Dr
Ste 400
Hauppauge, NY 11788

100 Motor Pkwy
Ste 110
Hauppauge, NY 11788

260 E Middle Country Rd
Ste 201
Smithtown, NY 11787
Phone 6312658780150

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 181952 NY Yes

Addresses

Primary practice location

180 E Main St
Suite 1
Bay Shore, NY 11706

Mailing address

375 E Main St
Suite 24
Bay Shore, NY 11706
Phone (631) 665-1330

Other identifiers

IdentifierTypeStateIssuer
01332750MedicaidNY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 6, 2013.

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386288000000",
    "number": "1528028941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 E MAIN ST",
            "address_2": "SUITE 24",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "11706",
            "telephone_number": "631-665-1330",
            "fax_number": "631-665-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 E MAIN ST",
            "address_2": "SUITE 1",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "11706",
            "telephone_number": "631-665-3918",
            "fax_number": "631-665-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHN-LEE",
        "first_name": "SANDRA",
        "middle_name": "SUNGMEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2013-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "181952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01332750",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

All providers in Bay Shore, NY · Ophthalmology Physician in New York

Sources for this page

Verify at the official NPI Registry.