Nicole Helen Lee, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD11427T Issued in CA

Practice address

490 Post St
Suite 1440
San Francisco, CA 94102-1401

Phone

(415) 392-4437

Fax

(415) 392-8622

NPI assigned

Feb 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Southern California College of Optometry, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gagnon Vision Medical Group IncGroup PAC ID 6103054937, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nlee@vecma.intellechartdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gagnon Vision Medical Group Inc

  • Ophthalmology Physician
  • Livermore, CA
  • NPI 1588091367

  Optometrist

  Medicare reassignment Care Compare group NPD
• Gagnon Vision Medical Group Inc

  • Ophthalmology Physician
  • Pleasanton, CA
  • NPI 1932549292

  Optometrist

  NPD
• Lillie Mosaddegh MD Inc

  • Ophthalmology Physician
  • San Francisco, CA
  • NPI 1326248923
  NPD (past)
• Sutter Bay Medical Foundation

  • Multi-Specialty Clinic/Center
  • Sacramento, CA
  • NPI 1003267196
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093857591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 BLANCO CT",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945832001",
            "telephone_number": "925-743-4098",
            "fax_number": "925-743-4098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 POST ST",
            "address_2": "SUITE 1440",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941021401",
            "telephone_number": "415-392-4437",
            "fax_number": "415-392-8622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "NICOLE",
        "middle_name": "HELEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OD11427T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRIC LICENSE",
            "identifier": "OD11427T",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Yan Lee, LCSW
• Natasha Anne Lee, D.D.S.
• Nathan Lee
• Nelson Lee
• Nicolas Hyun-Woo Lee, MD, MS
• Nina Lee, LMFT
• Noelle Jasmin Lee, PHARM.D.
• Nora Lee
• On NA Lee, MAS., RD.
• Pamela Orozco Lee, N.P.

• Optometrist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Optometrist in California

• 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.