Individual provider Active NPI

Colin Lee, OD

  • Optometrist
  • Greenfield, WI
National Provider Identifier
1720646193
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3879-35 Issued in WI
Practice address
4300 W Layton Ave Ste 100
Greenfield, WI 53220-4136
Phone
(414) 928-2020
Fax
(414) 210-3402
NPI assigned
May 31, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 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 3879-35 WI Primary

Addresses

Primary practice location

4300 W Layton Ave Ste 100
Greenfield, WI 53220-4136

Mailing address

4300 W Layton Ave Ste 100
Greenfield, WI 53220-4136
Phone (414) 928-2020

Other practice location 1

8375 S Howell Ave Ste 204
Oak Creek, WI 53154-8344
Phone (414) 928-2020

Other practice location 2

1249 W Liebau Rd Ste 102
Mequon, WI 53092-3397
Phone (414) 928-2020

Other identifiers 1

IdentifierTypeStateIssuer
3879-35OtherWILICENSED OPTOMETRIST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20230508000523 WI Practitioner - Optometry 9133453152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Physician Associates SCGroup PAC ID 9931171402, 8 clinicians

Practice addresses (Care Compare)

4300 W Layton Ave
Suite 100
Greenfield, WI 53220-4136
Phone (414) 928-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Physician Associates, S.C. Optometrist CurrentSince Apr 1, 2026 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Jun 16, 2023 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Jun 16, 2023 Accepting new patients
Gilbert Family Eyecare Optometrist PastSince Oct 1, 2021 Accepting new patients
Eye Physician Associates, S.C. Optometrist PastSince Apr 1, 2026 Accepting new patients

Locations

W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060

N74W12501 Leatherwood Ct
Menomonee Falls, WI 53051
Phone (414) 454-4744

W180N8000 Town Hall Rd
Menomonee Falls, WI 53051
Phone (262) 255-2500

1249 W Liebau Rd
Ste 102
Mequon, WI 53092
Phone (414) 481-8828

4300 W Layton Ave
#100
Milwaukee, WI 53220
Phone (414) 260-0789

8375 S Howell Ave
Ste 204
Oak Creek, WI 53154
Phone (414) 928-2020

1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990

Interoperability endpoints

  • Direct secure messaging: clee617554@direct.froedtert.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1720646193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 W LAYTON AVE STE 100",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532204136",
            "telephone_number": "414-928-2020",
            "fax_number": "414-210-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 W LAYTON AVE STE 100",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532204136",
            "telephone_number": "414-928-2020",
            "fax_number": "414-210-3402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8375 S Howell Ave Ste 204",
            "address_purpose": "LOCATION",
            "city": "Oak Creek",
            "state": "WI",
            "postal_code": "531548344",
            "country_code": "US",
            "telephone_number": "414-928-2020",
            "fax_number": "414-210-3402",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1249 W Liebau Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Mequon",
            "state": "WI",
            "postal_code": "530923397",
            "country_code": "US",
            "telephone_number": "414-928-2020",
            "fax_number": "414-210-3402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "COLIN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-31",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3879-35",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED OPTOMETRIST",
            "identifier": "3879-35",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, WI

Sources for this page

Verify at the official NPI Registry.