Organization Active NPI

Lee Eye Associates, PLLC

  • Optometrist
  • Auburn, WA
National Provider Identifier
1043381171
Registry record updated May 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3561TX Issued in WA
Legal business name
LEE EYE ASSOCIATES, PLLC
Practice address
801 Auburn Way N
Auburn, WA 98002-4162
Phone
(253) 735-4732
Fax
(253) 735-1861
NPI assigned
Nov 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2012

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

Authorized official

Name
Dr. Dennis S Lee, OD
Title
Managing Member
Phone
(253) 333-0054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3561TX WA Primary

Addresses

Primary practice location

801 Auburn Way N
Auburn, WA 98002-4162

Mailing address

1115 R St NW
Auburn, WA 98001-3848
Phone (253) 333-0054

Other identifiers 1

IdentifierTypeStateIssuer
2029148MedicaidWA

National Provider Directory

National Provider Directory

Locations

801 Auburn Way N
Ste B
Auburn, WA 98002
Phone (253) 735-4732

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336003200000",
    "number": "1043381171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 R ST NW",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980013848",
            "telephone_number": "253-333-0054",
            "fax_number": "253-735-1861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 AUBURN WAY N",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024162",
            "telephone_number": "253-735-4732",
            "fax_number": "253-735-1861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE EYE ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-12",
        "last_updated": "2012-05-03",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "253-333-0054",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3561TX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2029148",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; 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.