Individual provider Active NPI

Lee Anne Collins, O.D.

  • Optometrist
  • Webster, TX
National Provider Identifier
1629072103
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
05898TG Issued in TX
Practice address
555 E Medical Center Blvd
Suite 101
Webster, TX 77504-4326
Phone
(281) 488-7213
Fax
(281) 488-1387
NPI assigned
Jun 13, 2005
Sex
Female
Sole proprietor
No

Organizations & group practices 5

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.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Eye Associates PLLC 15 clinicians

Practice addresses (Care Compare)

1913 Steele Rd
Alvin, TX 77511-5526
Phone (281) 558-8453

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
I20100927000186 TX Practitioner - Optometry 1759407828 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05898TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Eye Associates, PLLC Optometrist Current Accepting new patients
Coastal Eye Associates, PLLC Optometrist Current Accepting new patients
Coastal Eye Associates CurrentSince Aug 19, 2010 Accepting new patients
Coastal Eye Associates, PLLC Optometrist CurrentSince Aug 19, 2010 Accepting new patients
Coastal Eye Associates PLLC Optometrist Current Accepting new patients

Locations

500 Ross St
Pittsburgh, PA 15262
Phone (844) 362-6808

1913 Steele Rd
Alvin, TX 77511
Phone (281) 488-7213

11550 Fuqua St
Ste 250
Houston, TX 77034
Phone (281) 464-9616

3333 Bayshore Blvd
Ste 280
Pasadena, TX 77504
Phone (713) 473-5715

6807 Emmett F Lowry Expy
Ste 102
Texas City, TX 77591
Phone (409) 945-2269

555 E Medical Center Blvd
Ste 101
Webster, TX 77598
Phone (281) 488-7213

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/Freedom_CEA

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 05898TG TX Primary

Addresses

NPPES NPI Registry

Primary practice location

555 E Medical Center Blvd
Suite 101
Webster, TX 77504-4326

Mailing address

555 E Medical Center Blvd
Suite 101
Webster, TX 77598-4367
Phone (281) 488-7213

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
152241901MedicaidTX

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 25, 2022.

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1629072103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 E MEDICAL CENTER BLVD",
            "address_2": "SUITE 101",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984367",
            "telephone_number": "281-488-7213",
            "fax_number": "281-488-1387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E MEDICAL CENTER BLVD",
            "address_2": "SUITE 101",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775044326",
            "telephone_number": "281-488-7213",
            "fax_number": "281-488-1387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "LEE ANNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-13",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "05898TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152241901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

Verify at the official NPI Registry.