Active NPI
Michael Lee, O.D.
- Optometrist
- Laguna Niguel, CA
National Provider Identifier
1003249061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 14720
- Practice address
- 27470 Alicia Pkwy
Laguna Niguel, CA 92677-3403 - Phone
- (949) 360-0408
- Fax
- (949) 360-4624
- NPI assigned
- Aug 14, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 14720 | CA | Primary |
Addresses
Primary practice location
27470 Alicia Pkwy
Laguna Niguel, CA 92677-3403
Mailing address
27470 Alicia Pkwy
Laguna Niguel, CA 92677-3403
Phone (949) 360-0408
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376438400000",
"number": "1003249061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27470 ALICIA PKWY",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "926773403",
"telephone_number": "949-360-0408",
"fax_number": "949-360-4624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27470 ALICIA PKWY",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "926773403",
"telephone_number": "949-360-0408",
"fax_number": "949-360-4624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-14",
"last_updated": "2013-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "14720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laguna Niguel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.