Individual provider Active NPI

Robert M Lee, M.D.

  • Ophthalmology Physician
  • Tarpon Springs, FL
National Provider Identifier
1699716118
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036088234 Issued in IL
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

Updated by the provider on Apr 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
L30735OtherILMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, FL, TN3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20110223000946 IL Practitioner - Ophthalmology 5496829673 Reassigns benefits to 1 organization
I20230217000498 FL Practitioner - Ophthalmology 5496829673 Reassigns benefits to 1 organization
I20250130002976 TN Practitioner - Family Practice 5496829673 Practice locations: Kingsport, TN

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Cataract and Laser InstituteGroup PAC ID 7517853948, 54 clinicians

Practice addresses (Care Compare)

43309 US Hwy 19 N
Tarpon Springs, FL 34689-6221
Phone (727) 943-3111

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036088234ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gailey Eye Clinic, LTD CurrentSince Oct 1, 1992 Accepting new patients
Gailey Eye Clinic, LTD Current Accepting new patients
Gailey Eye Clinic, LTD CurrentSince Oct 1, 1992 Accepting new patients
St Lukes Cataract & Laser Institute Ophthalmology CurrentSince Apr 1, 2023 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.