Active NPI
Jeane M Lee, OD
- Optometrist
- Elmont, NY
National Provider Identifier
1053557934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV0057271
- Practice address
- 733 Elmont Rd
Elmont, NY 11003-4035 - Phone
- (516) 341-0555
- NPI assigned
- Dec 26, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV0057271 | NY | Primary |
Addresses
Primary practice location
733 Elmont Rd
Elmont, NY 11003-4035
Mailing address
1445 Hempstead Tpke
Elmont, NY 11003-2400
Phone (516) 616-1771
Other practice location 1
1445 Hempstead Tpke
Elmont, NY 11003-2400
Phone (516) 616-1771
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
733 Elmont Rd
Elmont, NY 11003-4035
Phone (516) 341-0555
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV0057271 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elmont Optometry PLLC | Optometrist | Current | Accepting new patients |
Locations
733 Elmont Rd
Elmont, NY 11003
Phone (516) 341-0555
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715817600000",
"number": "1053557934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1445 HEMPSTEAD TPKE",
"city": "ELMONT",
"state": "NY",
"postal_code": "110032400",
"telephone_number": "516-616-1771",
"fax_number": "516-616-0473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "733 ELMONT RD",
"city": "ELMONT",
"state": "NY",
"postal_code": "110034035",
"telephone_number": "516-341-0555"
}
],
"practiceLocations": [
{
"address_1": "1445 Hempstead Tpke",
"address_purpose": "LOCATION",
"city": "Elmont",
"state": "NY",
"postal_code": "110032400",
"country_code": "US",
"telephone_number": "516-616-1771",
"fax_number": "516-616-0473",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "JEANE",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-26",
"last_updated": "2024-05-16",
"certification_date": "2024-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV0057271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elmont, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.