Active NPI
Robert M Lee, M.D.
- Ophthalmology Physician
- Tarpon Springs, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 036088234
- Practice address
- 43309 US Highway 19 N
Tarpon Springs, FL 34689-6221 - Phone
- (727) 943-3111
- NPI assigned
- Jun 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 036088234 | IL | Primary |
Addresses
Primary practice location
43309 US Highway 19 N
Tarpon Springs, FL 34689-6221
Mailing address
1008 N Main St
Bloomington, IL 61701-1784
Phone (309) 829-5311
Other practice location 1
1008 N Main St
Bloomington, IL 61701-1784
Phone (309) 829-5311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L30735 | Other | IL | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, FL, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
43309 US Hwy 19 N
Tarpon Springs, FL 34689-6221
Phone (727) 943-3111
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1230 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036088234 | IL | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gailey Eye Clinic, LTD | Current | Accepting new patients | |
| Gailey Eye Clinic, LTD | Current | Accepting new patients | |
| Gailey Eye Clinic, LTD | Current | Accepting new patients | |
| St Lukes Cataract & Laser Institute | Ophthalmology | Current | Accepting new patients |
Locations
25232 State Road 54
Lutz, FL 33559
Phone (727) 943-3111
187 Mariner Blvd
Spring Hill, FL 34609
Phone (352) 684-6722
43309 US Highway 19 N
Tarpon Springs, FL 34689
Phone (727) 938-2020
1008 N Main St
Bloomington, IL 61701
Phone (309) 829-5311
322 W Marion Ave
Forsyth, IL 62535
Phone (217) 872-2404
4927 N Glen Park Place Rd
Peoria, IL 61614
Phone (309) 308-3500
2121 Marquette Rd
Peru, IL 61354
Phone (815) 224-1100
Interoperability endpoints
- robert.lee.p1@direct.stlukeseye.nextgenshare.com
Organizations & group practices 4
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.
-
- Ophthalmology Physician
- Tarpon Springs, FL
- NPI 1154316628
-
- Ophthalmic Technician/Technologist
- Forsyth, IL
- NPI 1184829814
-
- Ophthalmic Technician/Technologist
- Peoria, IL
- NPI 1275738908
-
- Ophthalmic Technician/Technologist
- Watseka, IL
- NPI 1437355419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681171200000",
"number": "1699716118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1008 N MAIN ST",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617011784",
"telephone_number": "309-829-5311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43309 US HIGHWAY 19 N",
"city": "TARPON SPRINGS",
"state": "FL",
"postal_code": "346896221",
"telephone_number": "727-943-3111"
}
],
"practiceLocations": [
{
"address_1": "1008 N Main St",
"address_purpose": "LOCATION",
"city": "Bloomington",
"state": "IL",
"postal_code": "617011784",
"country_code": "US",
"telephone_number": "309-829-5311",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "ROBERT",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2023-04-11",
"certification_date": "2023-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IL",
"license": "036088234",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "L30735",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tarpon Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.