Dr Palmer N Lee OD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT5895TPL Issued in CA

Legal business name

DR PALMER N LEE OD INC

Doing business as

EYEcenter Optometric

Practice address

2200 Sunrise Blvd Ste 120
Gold River, CA 95670-4378

Phone

(916) 852-1600

Fax

(916) 852-0231

NPI assigned

Jun 1, 2016

Last updated

Jun 1, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Palmer N Lee, OD

Title

Owner

Phone

(916) 852-1600

Specialties & licenses 1

Addresses

Other names 1

• EYEcenter Optometric Doing business as

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464739200000",
    "number": "1134577059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 SUNRISE BLVD STE 120",
            "city": "GOLD RIVER",
            "state": "CA",
            "postal_code": "956704378",
            "telephone_number": "916-852-1600",
            "fax_number": "916-852-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 SUNRISE BLVD STE 120",
            "city": "GOLD RIVER",
            "state": "CA",
            "postal_code": "956704378",
            "telephone_number": "916-852-1600",
            "fax_number": "916-852-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR PALMER N LEE OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-01",
        "last_updated": "2016-06-01",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "PALMER",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-852-1600",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT5895TPL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EYEcenter Optometric",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eileen Louise Degruccio, LMFT
• Alyssa Lorene Dickerman
• Joel Joseph Dickson, D.C.
• Dignity Health Medical Foundation (Mercy Medical Group, a service of Dignity Health Medical Foundation)
• Jazzmine Renee Donley
• Kathleen Denise Duncan, DDS
• Aubrey Grace Edwards
• Darren Thomas Ellis
• David Evchenkov
• Eyecenter Optometrics, a Professional Corporation

• Optometrist in Gold River, CA
• Providers in Gold River, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; 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.