Active NPI
Jessi Lee, OD
- Optometrist
- Cheektowaga, NY
National Provider Identifier
1114350105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 008207
- Practice address
- 2000 Walden Ave
C203
Cheektowaga, NY 14225-5454 - Phone
- (716) 833-0803
- NPI assigned
- Aug 14, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 008207 | NY | Primary |
Addresses
Primary practice location
2000 Walden Ave
C203
Cheektowaga, NY 14225-5454
Mailing address
1394 Walck Rd
North Tonawanda, NY 14120-4519
Phone (609) 658-1867
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3121 | TN | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739664000000",
"number": "1114350105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1394 WALCK RD",
"city": "NORTH TONAWANDA",
"state": "NY",
"postal_code": "141204519",
"telephone_number": "609-658-1867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 WALDEN AVE",
"address_2": "C203",
"city": "CHEEKTOWAGA",
"state": "NY",
"postal_code": "142255454",
"telephone_number": "716-833-0803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JESSI",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-14",
"last_updated": "2025-02-16",
"certification_date": "2025-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "008207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cheektowaga, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.