Allen Ma Lee, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3313 Issued in MN

Practice address

2520 White Bear Ave N
Suite B
Maplewood, MN 55109-5136

Phone

(920) 918-6119

NPI assigned

Aug 26, 2012

Sex

Male

Sole proprietor

No

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

Enrolled in MN

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

Specialty

Optometry

Education

New England College of Optometry, 2012

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Lee Vision Family Eye Clinic, LLC

  • Optometrist
  • Maplewood, MN
  • NPI 1558803304
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1345939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519603200000",
    "number": "1033467915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 WHITE BEAR AVE N STE B",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551095175",
            "telephone_number": "651-447-2247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 WHITE BEAR AVE N",
            "address_2": "SUITE B",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551095136",
            "telephone_number": "920-918-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ALLEN MA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-26",
        "last_updated": "2018-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Margaret Layer, B.S.
• Le Gra Birth Services, LLC
• Melissa Jill Le
• Lee Vision Family Eye Clinic, LLC
• Alexandra Lee, RD, LD
• Amy Lee, P.A.
• Emary Lee
• Gabrielle Mae Blia Lee, INTERPRETER
• Genda Lee
• Houa Lee

• Optometrist in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.