Individual provider Active NPI

Tommie Lee, O.D.

  • Optometrist
  • Washington, DC
National Provider Identifier
1548329345
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OP533 Issued in DC
Practice address
1304 G St NW
Washington, DC 20005-3004
Phone
(202) 463-6241
Fax
(202) 628-1842
NPI assigned
Dec 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OP533 DC Primary

Addresses

Primary practice location

1304 G St NW
Washington, DC 20005-3004

Mailing address

5602 Brite Dr
Bethesda, MD 20817-6307
Phone (202) 463-6241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20111020000566 DC Practitioner - Optometry 6406028257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1304 G St NW
Washington, DC 20005-3004
Phone (202) 463-6241

5602 Brite Dr
Bethesda, MD 20817-6307

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tommie Lee. O.D.,P.a. CurrentSince May 1, 1995 Accepting new patients
For Eyes Optical of PA Past Accepting new patients

Locations

1304 G St NW
Washington, DC 20005
Phone (202) 463-6241

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, 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": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1548329345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5602 BRITE DR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208176307",
            "telephone_number": "202-463-6241",
            "fax_number": "202-628-1842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 G ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200053004",
            "telephone_number": "202-463-6241",
            "fax_number": "202-628-1842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "TOMMIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-07",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DC",
            "license": "OP533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.