Dr Mija Jackson Lee PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

6034 TG Issued in TX

Legal business name

DR MIJA JACKSON LEE PLLC

Practice address

250 W Highway 67
Duncanville, TX 75137-4415

Phone

(972) 572-9555

Fax

(972) 572-5505

NPI assigned

Apr 11, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Mija Jackson Lee, O.D.

Title

Owner

Phone

(972) 572-9555

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302480000000",
    "number": "1093005183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W HIGHWAY 67",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751374415",
            "telephone_number": "972-572-9555",
            "fax_number": "972-572-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W HIGHWAY 67",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751374415",
            "telephone_number": "972-572-9555",
            "fax_number": "972-572-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MIJA JACKSON LEE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-11",
        "last_updated": "2011-04-11",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MIJA",
        "authorized_official_middle_name": "JACKSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-572-9555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6034 TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominique Dor, M.A, L.P.C
• Ronald Lee Dotson, M.D.
• William G Dover, O.D.
• Queshena Dowell
• Dr - Duncanville, LLC
• Dr Tracey L Yothers, OD
• Brett Warren Duke
• Marcellous Dunbar, DC
• Duncanville Children'S Pediatric Care PLLC
• Duncanville Dentures and Dental Implants, PLLC.

• Optometrist in Duncanville, TX
• Providers in Duncanville, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; 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.