Active NPI
Jocelyn Marie Lee, O.D.
- Optometrist
- Los Angeles, CA
National Provider Identifier
1134596273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 15331
- Practice address
- 3750 W 6TH St Ste 113
Los Angeles, CA 90020 - Phone
- (213) 235-2500
- Fax
- (213) 251-8647
- NPI assigned
- Aug 24, 2015
- 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 | 15331 | CA | Primary |
Addresses
Primary practice location
3750 W 6TH St Ste 113
Los Angeles, CA 90020
Mailing address
3727 W 6TH St Ste 210
Los Angeles, CA 90020-5108
Phone (213) 235-2500
Other names 1
- Jocelyn Marie Liu
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532908800000",
"number": "1134596273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3727 W 6TH ST STE 210",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900205108",
"telephone_number": "213-235-2500",
"fax_number": "213-251-8647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3750 W 6TH ST STE 113",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90020",
"telephone_number": "213-235-2500",
"fax_number": "213-251-8647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JOCELYN",
"middle_name": "MARIE",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-24",
"last_updated": "2018-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "15331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOCELYN",
"last_name": "LIU",
"middle_name": "MARIE",
"credential": "O.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.