ROBERT LEE (NPI# 1962401869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962401869 |
| Entity Type | Individual |
| Full Name | ROBERT LEE |
| Credential | MD |
| Practice Address |
53822 Generations Dr South Bend IN 46635-1543 |
| Practice Telephone | 5742333711 |
| Practice Fax Number | 5742881702 |
| Mailing Telephone | 5742333711 |
| Mailing Fax Number | 5742881702 |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2017-07-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 01048726A | IN | Allopathic & Osteopathic Physicians |
| N | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
01048726A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200883090A | 05 | |
| MI | 4134100 | 05 | |
| IN | BLUE SHIELD | 000000093609 | 01 |
| IN | 200182540 | 05 | |
| IN | ANTHEM | 000000550384 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487292793 | Robert Lee | Peer Specialist | 835 West Main St, Rochester, NY 14611-2335 | 2019-12-17 |
| 1033773700 | Robert John Lee | Dentist | 3860 Grand Ave, Chino, CA 91710-5402 | 2019-04-27 |
| 1730689498 | Robert Lacgaspi Lee | Technician | 5586 La Perla Ct, Las Vegas, NV 89122-8390 | 2018-02-19 |
| 1508263138 | Robert Lee | Naturopath | 10 Cornwall Ln, Trumbull, CT 06611-2211 | 2014-11-25 |
| 1629484498 | Robert Lee II | Counselor | 525 Nw Lake Whitney Pl Ste 102&103, Port Saint Lucie, FL 34986-1605 | 2014-07-01 |
| 1679839385 | Robert Lee | Psychiatry & Neurology | 23041 Avenida De La Carlota, Laguna Hills, CA 92653-1511 | 2012-04-06 |
| 1801180807 | Robert Lee | Dermatology | 2438 N Ponderosa Dr Ste C105, Camarillo, CA 93010-2465 | 2011-06-07 |
| 1780900522 | Robert Seungmin Lee | Chiropractor | 2 Comet Rd, Syosset, NY 11791-6909 | 2010-04-19 |
| 1528291267 | Robert Ken Lee | Optometrist | 1040b East Imperial Highway, Brea, CA 92821 | 2009-08-28 |
| 1912141169 | Robert M Lee | Acupuncturist | 466 W Summerfield Cir, Anaheim, CA 92802-4778 | 2009-04-30 |
| Street Address |
53822 GENERATIONS DR |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46635-1543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023017902 | Thomas L Hauch | Ophthalmology | 53822 Generations Dr, South Bend, IN 46635-1543 | 2005-07-21 |
| 1790784668 | Patrick Omalley | Specialist | 53822 Generations Dr, South Bend, IN 46635-1543 | 2005-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295078228 | Michael Pfeiffer | Otolaryngology | 6301 University Commons Ste 360, South Bend, IN 46635 | 2013-03-27 |
| 1679833438 | Whitney Moore | Physical Therapy Assistant | 2012 Ironwood Circle, Suite 230, Circle Centre Building, South Bend, IN 46635 | 2012-05-25 |
| 1992917637 | Elly May Wynia | Social Worker | 53700 Generations Drive, Suite 200, South Bend, IN 46635 | 2007-05-04 |
| 1891917282 | Lifetime Dental Careof Indiana, PC | Dentist | 1605 North Ironwood, South Bend, IN 46635 | 2007-05-03 |
| 1750502878 | Tyrone Arteese Armstead | Pharmacist | 3355 Douglas Rd, South Bend, IN 46635 | 2007-05-02 |
| 1013033794 | Bradley Richard Swanson | Dentist | 54505 26th Street, Unit E, South Bend, IN 46635 | 2007-03-22 |
| 1225185739 | Michael J. O'connell D.o. Inc | Family Medicine | 17960 Cleveland Road, South Bend, IN 46635 | 2007-01-05 |
| 1346300365 | Chad Fulton Harrington | Dentist | 3340 Douglas Rd., South Bend, IN 46635 | 2006-12-11 |
| 1346313236 | Dr Shawn R Long Dds PC | Dentist | 16329 State Rd 23, South Bend, IN 46635 | 2006-11-16 |
| 1134206576 | Kearn David Hinchman | Psychiatry & Neurology | 53779 Generations Drive, Suite 1, South Bend, IN 46635 | 2006-11-01 |
| Find all providers in zip 46635 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467585323 | Gabriele Eye Institute | Ophthalmology | 2042 E Ireland Rd, South Bend, IN 46614-2909 | 2007-03-13 |
| 1417992199 | Eric Younghee Yoon | Ophthalmology | 707 North Michigan Street, Suite 210, South Bend, IN 46601-1069 | 2006-06-18 |
| 1497730261 | Bruce H Schwartz | Ophthalmology | 707 N Michigan St Ste 210, South Bend, IN 46601-1069 | 2005-12-14 |
| 1023017902 | Thomas L Hauch | Ophthalmology | 53822 Generations Dr, South Bend, IN 46635-1543 | 2005-07-21 |
| 1548304876 | Advanced Ophthalmology of Michiana LLC | Ophthalmology | 707 N Michigan St, Ste 210, South Bend, IN 46601-1067 | 2007-02-19 |
| 1033163894 | Ersalan A Rahman | Ophthalmology | 211 N Eddy St, South Bend, IN 46617-2808 | 2006-05-19 |
| 1073598835 | Steve L Gerber | Ophthalmology | 707 N Michigan St, Ste 210, South Bend, IN 46601-1067 | 2005-12-14 |
| 1184614638 | Susan E Park | Ophthalmology | 211 N Eddy St, South Bend, IN 46617-2808 | 2005-10-26 |
| 1952391526 | Martyn A Wills | Ophthalmology | 211 N Eddy St, South Bend, IN 46617-2808 | 2005-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225655533 | Vision Care Center LLC | Ophthalmology | 120 Se 4th St Ste 1300, Evansville, IN 47708-1607 | 2020-07-02 |
| 1346860947 | Timecertain, PC | Ophthalmology | 3530 S Keystone Ave, Indianapolis, IN 46227-3611 | 2020-04-23 |
| 1316566797 | Visionary Eye Specialists LLC | Ophthalmology | 9002 N Meridian St Ste 112, Indianapolis, IN 46260-5349 | 2020-04-15 |
| 1467003756 | Rachel Davis | Ophthalmology | 14637 N Gray Rd, Westfield, IN 46062-9274 | 2019-09-27 |
| 1255986162 | Northeast Ophthalmology P C | Ophthalmology | 7750 W Jefferson Blvd Ste B, Fort Wayne, IN 46804-4174 | 2019-08-07 |
| 1033631098 | Cataract Vision Institute Indiana LLC | Ophthalmology | 11595 North Meridian, Ste 175, Carmel, IN 46032 | 2017-07-12 |
| 1356703821 | Anjulie Gang | Ophthalmology | 9002 N Meridian St Ste 100, Indianapolis, IN 46260-5354 | 2016-03-24 |
| 1215302567 | Chad R. Kauffman, Do, LLC | Ophthalmology | 7615 Dean Rd, Indianapolis, IN 46240-3635 | 2015-12-10 |
| 1609240613 | Benjamin C Campbell | Ophthalmology | 201 Pennsylvania Pkwy Ste 225, Indianapolis, IN 46280 | 2015-11-15 |
| 1649665241 | Kevin Bubel | Ophthalmology | 759 45th St Ste 101, Munster, IN 46321-2939 | 2015-03-31 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BEND |
| Zip Code | 46635 |
Please comment or provide details below to improve the information on ROBERT LEE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.