Elaine Lee, O.D. Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

10507 T Issued in CA

Legal business name

ELAINE LEE, O.D. INC.

Practice address

7375 Day Creek Blvd Ste 105
Rancho Cucamonga, CA 91739-8024

Phone

(909) 646-7443

Fax

(909) 646-7480

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Elaline Lee, O.D.

Title

President

Phone

(909) 646-7443

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandy NG, O.D.

  • Optometrist
  • Rancho Cucamonga, CA
  • NPI 1982757753
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184701112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7375 DAY CREEK BLVD STE 105",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917398024",
            "telephone_number": "909-646-7443",
            "fax_number": "909-646-7480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7375 DAY CREEK BLVD STE 105",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917398024",
            "telephone_number": "909-646-7443",
            "fax_number": "909-646-7480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELAINE LEE, O.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ELALINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-646-7443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10507 T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0105070",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Ehinger, PT, DPT
• Michelle Lynn Ehrle, PHYSICAL THERAPIST
• Sanam Ejaz, PTA
• Dena Marcia Ekelem, MSW, ASW
• Nicole Ekong
• Elea Care Inc
• Elevate Chiropractic, Jimmy Sayegh Chiropractic Corp.
• Amanda Elias
• Rani Elias, MD
• Michelle Civia Elihu, D.D.S.

• Optometrist in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.