Stephanie Lee, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

289 Issued in NV

Practice address

8880 W Charleston Blvd
Las Vegas, NV 89117-5454

Phone

(702) 938-2020

Fax

(702) 938-2034

NPI assigned

Jun 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Chen Kuo Young, OD. Inc.

  dba Optic Galley

  • Health Maintenance Organization
  • Las Vegas, NV
  • NPI 1659304392

  Optometrist

  Medicare reassignment NPD
• Optic Gallery Spanish Springs LLC

  • Optometrist
  • Sparks, NV
  • NPI 1346997319
  Medicare reassignment NPD
• Dr Stephanie P Lee Corporation

  dba Optic Gallery

  • Optometrist
  • Henderson, NV
  • NPI 1447479845
  NPD (past)
• Optic Gallery Arroyo LLC

  • Optometrist
  • Las Vegas, NV
  • NPI 1205130879
  NPD (past)
• Optic Gallery Seven Hills LLC

  • Optometrist
  • Henderson, NV
  • NPI 1730516691
  NPD (past)
• Optic Gallery the District LLC

  • Optometrist
  • Henderson, NV
  • NPI 1376097600
  NPD (past)

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225670400000",
    "number": "1174568158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8880 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891175454",
            "telephone_number": "702-938-2020",
            "fax_number": "702-938-2034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8880 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891175454",
            "telephone_number": "702-938-2020",
            "fax_number": "702-938-2034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-17",
        "last_updated": "2008-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shin W Lee, MD
• Shonesha Lee
• Simhean Lee, M.D.
• Solomon Lee
• Sonja Lee
• Stephanie Cherisse Lee
• Steve Kibuom Lee, MD
• Steven Lee, DMD
• Sue Lee
• Suk Min Lee

• Optometrist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.