David D Lee, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1591035 Issued in WI

Practice address

133 S Knowles Ave
New Richmond, WI 54017-1726

Phone

(715) 246-3937

Fax

(715) 246-3435

NPI assigned

Mar 23, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1013977305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 S KNOWLES AVE",
            "address_2": "PO BOX 29",
            "city": "NEW RICHMOND",
            "state": "WI",
            "postal_code": "540171726",
            "telephone_number": "715-246-3937",
            "fax_number": "715-246-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 S KNOWLES AVE",
            "city": "NEW RICHMOND",
            "state": "WI",
            "postal_code": "540171726",
            "telephone_number": "715-246-3937",
            "fax_number": "715-246-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "DAVID",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "1591035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38504300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace Kromrey
• Stephanie K Kroon, PA C
• Jacob Patrick Lamirande
• Jennifer A Landgren, LMT
• Olaoluwa Taoheed Lediju, MD, MPH
• Benjamin Matthew Lilleberg
• Sandy Lindell
• Andrew Roger Lindloff, PHARMD
• Kellie Diane Lindquist, DDS
• Laura Jane Litjens, LPC

• Optometrist in New Richmond, WI
• Providers in New Richmond, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.