Individual provider Active NPI

Tac Zhun Lee, MD

  • Ophthalmology Physician
  • Youngstown, OH
National Provider Identifier
1790781722
Registry record updated May 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35-085177 Issued in OH
Practice address
8135 Market St
Youngstown, OH 44512-6244
Phone
(330) 758-0900
Fax
(330) 758-2790
NPI assigned
Jun 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2011

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 35-085177 OH Primary

Addresses

Primary practice location

8135 Market St
Youngstown, OH 44512-6244

Mailing address

8135 Market St
Youngstown, OH 44512-6244
Phone (330) 758-0900

Other identifiers 1

IdentifierTypeStateIssuer
P00167013OtherOHRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WV2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20041027000004 OH Practitioner - Ophthalmology 5294796884 Reassigns benefits to 1 organization
I20080428000100 WV Practitioner - Ophthalmology 5294796884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
82.62 of 100Reported as group
Quality
80.75
Promoting interoperability
78
Improvement activities
40
Cost
79.67

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-085177OHMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert L Stein DO PC Ophthalmology CurrentSince Sep 1, 2020 Accepting new patients
Lee Surgery Center LLC Current Accepting new patients
Juginder K Luthra MD Inc Ophthalmology Past Accepting new patients
Edward J Jagela OD Faao Professional LLC Past Accepting new patients
Oh Eye Associates Inc Ophthalmology Past Accepting new patients
Vitreo-Retinal Consultants, Inc. Ophthalmology Past Accepting new patients

Locations

6880 W Snowville Rd
Ste 215
Brecksville, OH 44141
Phone (440) 526-1974

8135 Market St
Youngstown, OH 44512
Phone (330) 758-0900

752 Brookshire Dr
Ste B
Hermitage, PA 16148
Phone (724) 347-5665

Interoperability endpoints

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

Organizations & group practices 7

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": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304640000000",
    "number": "1790781722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8135 MARKET ST",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445126244",
            "telephone_number": "330-758-0900",
            "fax_number": "330-758-2790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8135 MARKET ST",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445126244",
            "telephone_number": "330-758-0900",
            "fax_number": "330-758-2790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "TAC",
        "middle_name": "ZHUN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2011-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35-085177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00167013",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.