Individual provider Active NPI

Luann S. Lee, O.D.

  • Optometrist
  • Fresno, CA
National Provider Identifier
1144210980
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT12118T Issued in CA
Practice address
7075 N Sharon Ave
Fresno, CA 93720-3329
Phone
(559) 486-2000
Fax
(559) 256-8575
NPI assigned
Oct 24, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT12118T CA Primary

Addresses

Primary practice location

7075 N Sharon Ave
Fresno, CA 93720-3329

Mailing address

7075 N Sharon Ave
Fresno, CA 93720-3329
Phone (559) 486-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20040331001730 CA Practitioner - Optometry 3072505817 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 1998
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

Rancho Cordova, CA 95670
Phone (888) 852-1616

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT12118TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Fourth Optometric Care of California Optometrist Current Accepting new patients
Fourth Optometric Care of California Optometrist CurrentSince May 15, 2024 Accepting new patients
H Shammas MD Inc CurrentSince Jul 30, 2019 Accepting new patients
Fourth Optometric Care of California Optometrist CurrentSince May 15, 2024 Accepting new patients
Pearle Visioncare, Inc Past Accepting new patients
Spectrum Eyecare Optometry Inc Optometrist PastSince Nov 4, 2006 Accepting new patients
Dpmotikonrca LLC PastSince Mar 30, 2016 Accepting new patients

Locations

8409 Florence Ave
Ste 100
Downey, CA 90240
Phone (310) 638-9391

3510 Martin Luther King Jr Blvd
Lynwood, CA 90262
Phone (310) 635-7550

946 Manhattan Beach Blvd
Manhattan Beach, CA 90266
Phone (310) 545-4585

3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190678400000",
    "number": "1144210980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7075 N SHARON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203329",
            "telephone_number": "559-486-2000",
            "fax_number": "559-256-8575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7075 N SHARON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203329",
            "telephone_number": "559-486-2000",
            "fax_number": "559-256-8575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "LUANN",
        "middle_name": "S.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-24",
        "last_updated": "2007-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT12118T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.