Organization Active NPI

Lee County Eye Associates, PC

  • Optometrist
  • Bishopville, SC
National Provider Identifier
1104018993
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
LEE COUNTY EYE ASSOCIATES, PC
Practice address
730 West Church St
Bishopville, SC 29010
Phone
(803) 484-5494
Fax
(803) 484-5495
NPI assigned
Aug 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Authorized official

Name
Jason LeeNPI 1245227321
Title
Owner
Phone
(803) 484-5494

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

730 West Church St
Bishopville, SC 29010

Mailing address

730 West Church St
Bishopville, SC 29010-0815
Phone (803) 484-5494

Other identifiers 1

IdentifierTypeStateIssuer
DA9978MedicaidSC

Other names 1

  • LEE COUNTY EYE ASSOCIATES Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031119000134 SC Part B Supplier - Clinic/Group Practice 7517871908 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Bishopville, SC

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

730 W Church St
Bishopville, SC 29010
Phone (803) 484-5494

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650931200000",
    "number": "1104018993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 WEST CHURCH ST",
            "city": "BISHOPVILLE",
            "state": "SC",
            "postal_code": "290100815",
            "telephone_number": "803-484-5494",
            "fax_number": "803-484-5495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 WEST CHURCH ST",
            "city": "BISHOPVILLE",
            "state": "SC",
            "postal_code": "29010",
            "telephone_number": "803-484-5494",
            "fax_number": "803-484-5495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE COUNTY EYE ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-484-5494"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA9978",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LEE COUNTY EYE ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LEE COUNTY EYE ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bishopville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.