Individual provider Active NPI

Perry K Lee, OD

  • Optometrist
  • Greensboro, GA
National Provider Identifier
1679661250
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
GA1558 Issued in GA
Practice address
6061 Lake Oconee Pkwy
Greensboro, GA 30642-3798
Phone
(706) 453-4535
Fax
(706) 453-4539
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X GA1558 GA Primary

Addresses

Primary practice location

6061 Lake Oconee Pkwy
Greensboro, GA 30642-3798

Mailing address

6061 Lake Oconee Pkwy
Greensboro, GA 30642-3798
Phone (706) 453-4535

Other identifiers 2

IdentifierTypeStateIssuer
000743399LMedicaidGA
410045041OtherGARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20040617001103 GA Practitioner - Optometry 3072505973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Perry K Lee OD PCGroup PAC ID 8224149455, 4 clinicians

Practice addresses (Care Compare)

6061 Lake Oconee Pkwy
Greensboro, GA 30642-3798
Phone (706) 453-4535

Merit-based Incentive Payment System (MIPS)

Final score
87.43 of 100Reported as group
Quality
74.86
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
GA1558GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Perry K Lee OD PC Optometrist CurrentSince Oct 1, 1999 Accepting new patients
M. Michael Pulliam, M.D., P.C. Past Accepting new patients
Lee, Ellerman, and Associates, OD, PC Optometrist PastSince Jan 1, 2003 Accepting new patients

Locations

1051 Park Dr
#A
Greensboro, GA 30642
Phone (706) 453-4535

6061 Lake Oconee Pkwy
Greensboro, GA 30642
Phone (706) 453-4535

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1679661250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6061 LAKE OCONEE PKWY",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306423798",
            "telephone_number": "706-453-4535",
            "fax_number": "706-453-4539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6061 LAKE OCONEE PKWY",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306423798",
            "telephone_number": "706-453-4535",
            "fax_number": "706-453-4539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "PERRY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "GA1558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000743399L",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410045041",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, GA

Sources for this page

Verify at the official NPI Registry.