Active NPI
Richard C Lee, OD
- Optometrist
- Seattle, WA
National Provider Identifier
1831237163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD00003675
- Practice address
- 10330 Meridian Ave N
Suite 370
Seattle, WA 98133-9451 - Phone
- (206) 528-6000
- Fax
- (206) 528-0014
- NPI assigned
- Feb 1, 2007
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | OD00003675 | WA | Primary |
Addresses
Primary practice location
10330 Meridian Ave N
Suite 370
Seattle, WA 98133-9451
Mailing address
PO Box 6989 Mail Stop 18913
Portland, OR 97228-6989
Phone (206) 858-7000
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| US2857143 | Other | WA | AETNA SPECIALIST PIN |
| 0039597 | Other | WA | LABOR AND INDUSTRIES # |
| 2028389 | Medicaid | WA | |
| 410048251 | Other | WA | RAILROAD MC# |
| 1334LE | Other | WA | BLUE SHIELD # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 89.74 of 100
- Quality
- 88.73
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.08
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456704000000",
"number": "1831237163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6989 MAIL STOP 18913",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972286989",
"telephone_number": "206-858-7000",
"fax_number": "206-858-7050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10330 MERIDIAN AVE N",
"address_2": "SUITE 370",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981339451",
"telephone_number": "206-528-6000",
"fax_number": "206-528-0014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "RICHARD",
"middle_name": "C",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-01",
"last_updated": "2016-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "OD00003675",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA SPECIALIST PIN",
"identifier": "US2857143",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES #",
"identifier": "0039597",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2028389",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MC#",
"identifier": "410048251",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD #",
"identifier": "1334LE",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.