Organization Active NPI

Lillian C. Lee, M.D., Inc.

  • Ophthalmology Physician
  • Poway, CA
National Provider Identifier
1083866719
Registry record updated Aug 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A68663 Issued in CA
Legal business name
LILLIAN C. LEE, M.D., INC.
Practice address
15706 Pomerado Rd
Ste 103
Poway, CA 92064-2067
Phone
(858) 451-8600
Fax
(858) 451-8383
NPI assigned
Oct 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2013

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

Authorized official

Name
Dr. Lillian Catherine Lee, M.D.
Title
President
Phone
(858) 451-8600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X A68663 CA Primary

Addresses

Primary practice location

15706 Pomerado Rd
Ste 103
Poway, CA 92064-2067

Mailing address

15706 Pomerado Rd
Ste 103
Poway, CA 92064-2067
Phone (858) 451-8600

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1223856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375920000000",
    "number": "1083866719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15706 POMERADO RD",
            "address_2": "STE 103",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642067",
            "telephone_number": "858-451-8600",
            "fax_number": "858-451-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15706 POMERADO RD",
            "address_2": "STE 103",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642067",
            "telephone_number": "858-451-8600",
            "fax_number": "858-451-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILLIAN C. LEE, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-13",
        "last_updated": "2013-08-08",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "LILLIAN",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-451-8600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A68663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poway, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; 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.