Active NPI
Yaling Lee, O.D.
- Optometrist
- Roanoke, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618002009
- Practice address
- 1507 Hershberger Rd NW Ste C
Roanoke, VA 24012-7300 - Phone
- (540) 362-1030
- NPI assigned
- Jan 22, 2007
- Last updated
- Jul 21, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1347-481T | LA | |
| Optometrist | 152W00000X | 0618002009 | VA | Primary |
Addresses
Primary practice location
1507 Hershberger Rd NW Ste C
Roanoke, VA 24012-7300
Mailing address
1507 Hershberger Rd NW Ste C
Roanoke, VA 24012-7300
Phone (540) 362-1030
Other practice location 1
2950 E Texas St
Bossier City, LA 71111-3265
Phone (318) 573-1922
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184679052 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1507 Hershberger Rd NW
Suite C
Roanoke, VA 24012-7300
Phone (540) 362-1030
4960 Greensboro Rd
Suite 5
Ridgeway, VA 24148-3390
Phone (276) 956-4444
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1347 | LA | MD | School Psychologist |
| 1347-481T | LA | MD | Optometrist |
| 0618002009 | VA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jason Wonch, O.D. and Associates, a.P.C. | Optometrist | Past | Accepting new patients |
| Jason Wonch OD and Associates Apc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Optometrist
- Roanoke, VA
- NPI 1184679052
-
dba Visionworks
- Optometrist
- Lake Charles, LA
- NPI 1295769008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1144374885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1507 HERSHBERGER RD NW STE C",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240127300",
"telephone_number": "540-362-1030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1507 HERSHBERGER RD NW STE C",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240127300",
"telephone_number": "540-362-1030"
}
],
"practiceLocations": [
{
"address_1": "2950 E Texas St",
"address_purpose": "LOCATION",
"city": "Bossier City",
"state": "LA",
"postal_code": "711113265",
"country_code": "US",
"telephone_number": "318-573-1922",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "YALING",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "LA",
"license": "1347-481T",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618002009",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1184679052",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.