DR. ROBERT FREDRICK III LEE (O.D.) – Optometrist, NPI 1013909555

DR. ROBERT FREDRICK III LEE (O.D.) is a healthcare provider. based in Detroit, Michigan. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 4901003122 (MI). The NPI Number for DR. ROBERT FREDRICK III LEE (O.D.) is 1013909555

Main info

Male
Sole Proprietor
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROBERT FREDRICK III LEE (O.D.)
NPI
1013909555
Phone
(313) 526-7664
Address
15157 GRATIOT AVE
Enumeration Date
19 August 2005
Last Update Date
4 November 2008

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
2482349200
Graduation Year
1987 (39 years ago)
PAC ID
8527969393
Group Practice PAC ID
9931257110
Professional Enrollment ID
I20040115000335
Address ID
MI480761900SO29157RDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,203 OPTOMETRY in MI

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Provider Addresses for DR. ROBERT FREDRICK III LEE (O.D.)

  • 15157, Gratiot Avenue, Mohican Regent, Detroit, Wayne County, Michigan, 48205, United States

    DETROIT, MI 482051324

    Phone: (313) 526-7664

    Fax: (313) 526-2055

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2023-11-08 • Largest payer in this snapshot: Alcon Vision LLC ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-08

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alcon Vision LLC$21
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-01-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040115000335IOptometryMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48205)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9931257110View full group profile
NameSpecialtyState
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMI

Reviews

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Frequently asked questions

What is the standard ID for DR. ROBERT FREDRICK III LEE (O.D.) in the U.S.?
In the U.S., DR. ROBERT FREDRICK III LEE (O.D.) is identified by NPI 1013909555.
Should I treat DR. ROBERT FREDRICK III LEE (O.D.) as an active provider?
Patients and plans typically see DR. ROBERT FREDRICK III LEE (O.D.) as active in the national extract.
Which specialty label fits DR. ROBERT FREDRICK III LEE (O.D.)?
NPPES ties DR. ROBERT FREDRICK III LEE (O.D.) to Optometrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is DR. ROBERT FREDRICK III LEE (O.D.) tied to Detroit, Michigan?
If you are local to Detroit, Michigan, DR. ROBERT FREDRICK III LEE (O.D.) may be relevant to your search.
Who maintains DR. ROBERT FREDRICK III LEE (O.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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