Organization Active NPI

J H Lee OD & Associates PC

  • Optometrist
  • Abington, PA
National Provider Identifier
1053366427
Registry record updated Jun 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000524 Issued in PA
Legal business name
J H LEE OD & ASSOCIATES PC
Practice address
947 Old York Rd
1St Floor
Abington, PA 19001-4611
Phone
(215) 935-6908
Fax
(215) 935-6387
NPI assigned
May 24, 2006
Last updated
Jun 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2014

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

Authorized official

Name
Dr. John H Lee, ODNPI 1609849223
Title
Chief Optometrist
Phone
(215) 935-6908

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X OEG000524 PA Primary

Addresses

Primary practice location

947 Old York Rd
1St Floor
Abington, PA 19001-4611

Mailing address

947 Old York Rd
1St Floor
Abington, PA 19001-4611
Phone (215) 935-6908

Other identifiers 3

IdentifierTypeStateIssuer
2017197OtherPAAETNA
367529OtherPAPA BLUE SHIELD
085021OtherPAMEDICARE ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041110000102 PA Part B Supplier - Clinic/Group Practice 8820051931 Receives reassigned benefits from 2 practitioners
Practice locations: Abington, PA

National Provider Directory

National Provider Directory

Locations

947 Old York Rd
Ste 1
Abington, PA 19001
Phone (215) 935-6908

2500 W Moreland Rd
Ste 3116
Willow Grove, PA 19090
Phone (215) 784-0160

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402531200000",
    "number": "1053366427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "947 OLD YORK RD",
            "address_2": "1ST FLOOR",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190014611",
            "telephone_number": "215-935-6908",
            "fax_number": "215-935-6387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "947 OLD YORK RD",
            "address_2": "1ST FLOOR",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190014611",
            "telephone_number": "215-935-6908",
            "fax_number": "215-935-6387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J H LEE OD & ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2014-06-12",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CHIEF OPTOMETRIST",
        "authorized_official_telephone_number": "215-935-6908",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2017197",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE SHIELD",
            "identifier": "367529",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "085021",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.