Individual provider Active NPI

Anthony M Lee, OD

  • Optometrist
  • Waterville, ME
National Provider Identifier
1851491732
Registry record updated Feb 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT838 Issued in ME
Practice address
166 Silver St
Waterville, ME 04901-5815
Phone
(207) 873-3500
Fax
(207) 873-3500
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT838 ME Primary

Addresses

Primary practice location

166 Silver St
Waterville, ME 04901-5815

Mailing address

166 Silver St
Waterville, ME 04901-5815
Phone (207) 873-3500

Other identifiers 3

IdentifierTypeStateIssuer
MN3981OtherMEHARVARD PILGRIM
023215OtherMEANTHEM
255520099MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20040929000089 ME Practitioner - Optometry 3072582881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

247 Commercial St
Suite C
Rockport, ME 04856-5964
Phone (207) 236-2399

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT838MEMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Anthony Lee O.D. & Associates Eyecare, PA Optometrist CurrentSince Oct 8, 2013 Accepting new patients
Michael E. Marden, O.D. Optometrist Past Accepting new patients
Kennebec Eyecare PA Optometrist PastSince Jun 20, 2005 Accepting new patients
Vision Care of Maine LLC Past Accepting new patients

Locations

247 Commercial St
Rockport, ME 04856
Phone (207) 230-1007

247 Commercial St
Ste E
Rockport, ME 04856
Phone (207) 236-8879

247 Commercial St
Ste C
Rockport, ME 04856
Phone (207) 236-2399

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393027200000",
    "number": "1851491732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 SILVER ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049015815",
            "telephone_number": "207-873-3500",
            "fax_number": "207-873-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 SILVER ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049015815",
            "telephone_number": "207-873-3500",
            "fax_number": "207-873-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ANTHONY",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2014-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "MN3981",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "023215",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255520099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterville, ME

Sources for this page

Verify at the official NPI Registry.