Organization Active NPI

Dr.Juliane Lee,Optometrist, a Professional Corporation

  • Optometrist
  • Victorville, CA
National Provider Identifier
1164036646
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DR.JULIANE LEE,OPTOMETRIST, A PROFESSIONAL CORPORATION
Practice address
14309 Bear Valley Rd Ste B
Victorville, CA 92392-7648
Phone
(760) 674-8806
NPI assigned
Sep 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Authorized official

Name
Karen Ozuna
Title
Assistant Manager
Phone
(760) 674-8806

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

14309 Bear Valley Rd Ste B
Victorville, CA 92392-7648

Mailing address

14309 Bear Valley Rd Ste B
Victorville, CA 92392-7648
Phone (760) 674-8806

Other names 1

  • DR.JULIANE LEE,OPTOMETRIST, A PROFESSIONAL CORPORATION Doing business as

National Provider Directory

National Provider Directory

Locations

14309 Bear Valley Rd
Ste B
Victorville, CA 92392
Phone (760) 989-7180

NPI Registry JSON

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1164036646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14309 BEAR VALLEY RD STE B",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923927648",
            "telephone_number": "760-674-8806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14309 BEAR VALLEY RD STE B",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923927648",
            "telephone_number": "760-674-8806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.JULIANE LEE,OPTOMETRIST, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "OZUNA",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "ASSISTANT MANAGER",
        "authorized_official_telephone_number": "760-674-8806"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DR.JULIANE LEE,OPTOMETRIST, A PROFESSIONAL CORPORATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.