Individual provider Active NPI

Yaling Lee, O.D.

  • Optometrist
  • Roanoke, VA
National Provider Identifier
1144374885
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618002009 Issued in VA
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1184679052MedicaidVA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171127000256 VA Practitioner - Optometry 9739174996 Reassigns benefits to 1 organization

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
National Optometric Center PLCGroup PAC ID 5991063273, 2 clinicians

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

LicenseStateTypeSpecialty
1347LAMDSchool Psychologist
1347-481TLAMDOptometrist
0618002009VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.