MOLLY LEE (O.D.) – Optometrist, NPI 1083755037

MOLLY LEE (O.D.) is a healthcare provider. based in Medina, Tennessee. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. TN2579 (TN). The NPI Number for MOLLY LEE (O.D.) is 1083755037

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
MOLLY LEE (O.D.)
NPI
1083755037
Phone
Not provided
Address
25 MIDDLE SCHOOL ROAD
Enumeration Date
11 February 2007
Last Update Date
10 July 2009

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
7314242414
Graduation Year
2005 (21 years ago)
PAC ID
2163516048
Group Practice PAC ID
0042253882
Professional Enrollment ID
I20090821000680
Address ID
TN383053780JA1340XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

957 OPTOMETRY in TN

Provider Addresses for MOLLY LEE (O.D.)

  • 25 MIDDLE SCHOOL ROAD

    MEDINA, TN 38355

    Phone:

    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 8 Open Payments records for all available years, with a total value of $248.

Total Amount is formed as General ($248) + Research ($0) + Ownership ($0) = $248.

Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Alcon Vision LLC ($95).

Total Amount

$248

General + Research + Ownership

Payments

8

Total payment records

General Amount

$248

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-08

Latest reported date

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: 2009-08-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-08-31 (1015 days ago).

Enrollment records

1

Earliest due date

2023-08-31

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
I20090821000680IOptometryTN2023-08-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system486466$0
92250Photography of the retina274267$0
99213Established patient office or other outpatient visit, 20-29 minutes119104$0
99214Established patient office or other outpatient visit, 30-39 minutes7262$0
92134Imaging of retina6562$0
View full utilization report →

Insurance plans in this area (ZIP 38355)

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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: 0042253882View full group profile
NameSpecialtyState
O P H T H A L M O L O G YTN
-TN
O P H T H A L M O L O G YTN
O P T O M E T R YTN
O P T O M E T R YTN
-TN
O P H T H A L M O L O G YTN
O P H T H A L M O L O G YAR
O P H T H A L M O L O G YTN

Reviews

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Frequently asked questions

What NPI should I save for MOLLY LEE (O.D.)?
Save NPI 1083755037 if you need a stable reference for MOLLY LEE (O.D.).
Is MOLLY LEE (O.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MOLLY LEE (O.D.) list a primary specialty?
If you are matching referrals, note Optometrist for MOLLY LEE (O.D.). Clinical services aligned with this taxonomy classification.
What location shows for MOLLY LEE (O.D.)?
We surface Medina, Tennessee for MOLLY LEE (O.D.) based on available NPPES addresses.
Is MOLLY LEE (O.D.) a real provider?
This page reflects official NPPES data for NPI 1083755037. Always confirm identity and privileges with the practice and licensing boards.

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