Lee S Anderson, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

E2439 Issued in TX

Practice address

900 W Magnolia Ave
Suite 202
Fort Worth, TX 76104-8517

Phone

(817) 334-0882

Fax

(817) 334-0885

NPI assigned

Nov 2, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Retina Consultants PA

  • Ophthalmology Physician
  • Fort Worth, TX
  • NPI 1154303055
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397174400000",
    "number": "1669463295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650037",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650037",
            "telephone_number": "214-696-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W MAGNOLIA AVE",
            "address_2": "SUITE 202",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761048517",
            "telephone_number": "817-334-0882",
            "fax_number": "817-334-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "LEE",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2014-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "E2439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "48797702",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "48797703",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly D Anderson, LCSW
• Kimberly Diane Anderson, MS-CCC/SLP
• Koda Deann Anderson
• Laura Anderson, FNP
• Lee E Anderson, MD
• Lucas Kane Anderson
• Maricarol M Anderson, S.L.P.
• Merlie Tameika Anderson, CCC-SLP
• Nancy Anderson
• Rachael Anderson, LPC

• Ophthalmology Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.