Jae Lee

Primary specialty

OpticianTaxonomy code 156FX1800X

License

LDO002349 Issued in GA

Practice address

1525 Bluegrass Lakes Pkwy Ste a
Alpharetta, GA 30004-7713

Phone

(770) 847-8788

NPI assigned

Feb 23, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Davich Eyewear,LLC

  • Eyewear Supplier
  • Alpharetta, GA
  • NPI 1972464790
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1013214287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 BLUEGRASS LAKES PKWY STE A",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300047713",
            "telephone_number": "678-907-1587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 BLUEGRASS LAKES PKWY STE A",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300047713",
            "telephone_number": "770-847-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-23",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "GA",
            "license": "LDO002349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bo Rum Lee, OD
• Christopher Bryan Lee, DMD
• Diana Lee, PA-C
• Grace Dianne Lee, MFT
• Gunwoo Lee, PHARMD
• Jee Y Lee, FNP
• Ji Yeon Lee, MD
• John Levie Lee Jr., M.D.
• Jung Min Lee
• Linda M Lee, MD

• Optician in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Optician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.