John Patrick Lee, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2763-035 Issued in WI

Practice address

110 Broad St N
Prescott, WI 54021-1702

Phone

(715) 262-1112

Fax

(715) 262-1112

NPI assigned

Sep 13, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ritzinger Optometric Clinic SCGroup PAC ID 9739280819, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ritzinger Optometric Clinic SC

  • Optometrist
  • River Falls, WI
  • NPI 1316907835
  Medicare reassignment Care Compare group NPD
• Ritzinger Optometric Clinic SC

  • Optometrist
  • Hudson, WI
  • NPI 1407816929
  NPD

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063517399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 BROAD ST N",
            "city": "PRESCOTT",
            "state": "WI",
            "postal_code": "540211702",
            "telephone_number": "715-262-1112",
            "fax_number": "715-262-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BROAD ST N",
            "city": "PRESCOTT",
            "state": "WI",
            "postal_code": "540211702",
            "telephone_number": "715-262-1112",
            "fax_number": "715-262-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JOHN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2763-035",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2745",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38618900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Kaltenberg
• Molly Kapping, M.S.CCC-SLP
• Rebekah Kimlinger
• Amy Marie Krause, RN
• Andrea Lynn Lapcinski, R.PH.
• Bonnie Marie Linquist, CMT
• Jenny Lynes, CCC-SLP
• Melissa Merth, C.O.T.A
• Most Pharmacy Inc. (Most Pharmacy)
• Richard Scott Navarro, DNP FNP

• Optometrist in Prescott, WI
• Providers in Prescott, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.