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
Hospital & facility affiliations 1
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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.5 of 100
- 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sight Medical Doctors PLLC | Current |
Accepting new patients | |
| Sight Medical Doctors PLLC | Ophthalmology | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01332750 | Medicaid | NY |
NPI Registry JSON
{
"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
- Claudia Casandra Aguirre Subauste
- Alisa Janet Ahern
- Nicholas Ahlers
- Syed N Ahmad
- Shamayl Munaf Ahmed
- Iram Ahsanuddin
- Susan Aiken
- Faisal Aiwzali
- Amanda Ajello
- Kelechi Akuma
All providers in Bay Shore, NY · Ophthalmology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.