Individual provider Active NPI

Dickson Lee, O.D.

  • Optometrist
  • New York, NY
National Provider Identifier
1124035829
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
006158 Issued in NY
Practice address
2 W 14TH St
Cohen'S Fashion Optical
New York, NY 10011-7517
Phone
(212) 989-3937
Fax
(212) 462-4483
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 006158 NY Primary

Addresses

Primary practice location

2 W 14TH St
Cohen'S Fashion Optical
New York, NY 10011-7517

Mailing address

2 W 14TH St
Cohen'S Fashion Optical
New York, NY 10011-7517
Phone (212) 989-3937

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20130808000236 NY Practitioner - Optometry 4486896149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manhattan Optometry and Ophthalmic Dispensing PLLCGroup PAC ID 0143542019, 3 clinicians

Practice addresses (Care Compare)

400 W 42ND St
New York, NY 10036-6814
Phone (212) 869-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Manhattan Optometry and Ophthalmic Dispensing PLLC Optometrist CurrentSince Mar 1, 2021 Accepting new patients
Manhattan Optometry and Ophthalmic Dispensing PLLC Optometrist Past Accepting new patients

Locations

2 W 14th St
New York, NY 10011
Phone (212) 989-3937

400 W 42nd St
New York, NY 10036
Phone (212) 430-2020

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1124035829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W 14TH ST",
            "address_2": "COHEN'S FASHION OPTICAL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100117517",
            "telephone_number": "212-989-3937",
            "fax_number": "212-462-4483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W 14TH ST",
            "address_2": "COHEN'S FASHION OPTICAL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100117517",
            "telephone_number": "212-989-3937",
            "fax_number": "212-462-4483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "DICKSON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "006158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.