NPIMap

Organization Active NPI

Jenee Lee OD Professional Corporation

  • Optometrist
  • Corona, CA
National Provider Identifier
1093247223
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13397T Issued in CA
Legal business name
JENEE LEE OD PROFESSIONAL CORPORATION
Practice address
480 N McKinley St
Corona, CA 92879-1291
Phone
(951) 279-1987
Fax
(951) 279-8355
NPI assigned
Mar 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Authorized official

Name
Jenee S Lee, ODNPI 1295929370
Title
Ceo/Optometrist
Phone
(209) 479-9811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 13397T CA Primary

Addresses

Primary practice location

480 N McKinley St
Corona, CA 92879-1291

Mailing address

28 Bluejay
Irvine, CA 92604-3266
Phone (209) 479-9811

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1490659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689897600000",
    "number": "1093247223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 BLUEJAY",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926043266",
            "telephone_number": "209-479-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 N MCKINLEY ST",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791291",
            "telephone_number": "951-279-1987",
            "fax_number": "951-279-8355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENEE LEE OD PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-28",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JENEE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO/OPTOMETRIST",
        "authorized_official_telephone_number": "209-479-9811",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13397T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; 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.