NPIMap

Organization Active NPI

Susan Lee

  • Durable Medical Equipment & Medical Supplies
  • Watonga, OK
National Provider Identifier
1114195203
Registry record updated Oct 28, 2010
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Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1010 Issued in OK
Legal business name
SUSAN LEE
Practice address
215 N Clarence Nash Blvd
Watonga, OK 73772-3645
Phone
(580) 623-2300
Fax
(580) 623-7533
NPI assigned
Feb 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2010

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

Authorized official

Name
Dr. Susan Lee, O.D.
Title
Owner
Phone
(580) 623-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1010 OK Primary

Addresses

Primary practice location

215 N Clarence Nash Blvd
Watonga, OK 73772-3645

Mailing address

215 N Clarence Nash Blvd
Watonga, OK 73772-3645
Phone (580) 623-2300

National Provider Directory

National Provider Directory

Locations

215 N Clarence Nash Blvd
Watonga, OK 73772
Phone (580) 623-2300

NPI Registry JSON

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288224000000",
    "number": "1114195203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N CLARENCE NASH BLVD",
            "city": "WATONGA",
            "state": "OK",
            "postal_code": "737723645",
            "telephone_number": "580-623-2300",
            "fax_number": "580-623-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N CLARENCE NASH BLVD",
            "city": "WATONGA",
            "state": "OK",
            "postal_code": "737723645",
            "telephone_number": "580-623-2300",
            "fax_number": "580-623-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN LEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2010-10-28",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-623-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OK",
            "license": "1010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watonga, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; 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.