DR. LEE EDWARD GUERTIN III O.D.
NPI 1326042995
Optometrist in Somerset, MA

Active since June 10, 2005PECOS EnrolledAccepts Medicare Assignment
255 COUNTY ST, SOMERSET, MA 02726(508) 676-8167(508) 676-1434 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 17, 2021, Jun 18, 2020 (2 updates tracked since 2020).

About Dr. Lee Edward Guertin Iii O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LEE EDWARD GUERTIN III O.D. (NPI 1326042995) is an individual optometrist in Somerset, Massachusetts, licensed in Massachusetts (4074) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in North Attleboro, and is a graduate of Indiana University - School Of Optometry (1996).

NPPES Registry Identity

NPI1326042995
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. LEE EDWARD GUERTIN IIICredential: O.D.
Location Address255 COUNTY STSomerset, MA 02726-4240
Mailing Address86 Purgatory RdSutton, MA 01590-2803 · (508) 865-0696
Fax(508) 676-1434
Sole ProprietorNo
Medical School CMSIndiana University - School Of OptometryGraduated 1996
Enumeration DateJune 10, 2005
Last NPPES UpdateDecember 17, 20212 updates tracked since enumeration
NPPES CertifiedDecember 17, 2021
NPI 1326042995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in MA · 4074 Licensed in MA · MG0358033M (TPA)
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

255 COUNTY ST, Somerset, MA 02726

Secondary Practice Location 1

Location 11250 S Washington StNorth Attleboro, MA 02760-6227 · Phone (508) 717-0425

Other Identifiers 8

Medicaid110024738AMA
Other152748MA · Harvard Pilgrim
Medicaid0702102MA
Other411983RI · Bcbs Ri Blue Chip
Other454708MA · Tufts Health Plan
OtherW16263MA · Bcbs Massachusetts
Other22-00849MA · United Health Care
Other23640-7RI · Bcbs Rhode Island

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Lee Edward Guertin Iii O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890730832
PECOS Enrollment IDI20050621000845
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
194 services193 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
45 services42 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
17 services17 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
16 services16 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02726 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
255 COUNTY ST
SOMERSET, MA 02726

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lee Guertin's NPI number?

The NPI number for Lee Guertin is 1326042995. It was assigned to this individual provider in the NPPES registry on June 10, 2005.

Where is Lee Guertin located?

Lee Guertin practices at 255 County St, Somerset, MA 02726. The listed phone number is (508) 676-8167.

What is Lee Guertin's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Lee Guertin enrolled in Medicare?

Yes. Lee Guertin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lee Guertin accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee and 1 other insurer list Lee Guertin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lee Guertin was last updated on December 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.