Organization Active NPI

Elaine Lee, O.D. Inc.

  • Optometrist
  • Rancho Cucamonga, CA
National Provider Identifier
1184701112
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
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
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 10507 T CA Primary

Addresses

Primary practice location

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

Mailing address

7375 Day Creek Blvd Ste 105
Rancho Cucamonga, CA 91739-8024
Phone (909) 646-7443

National Provider Directory

National Provider Directory

Locations

19201 Bear Valley Rd
Apple Valley, CA 92308
Phone (760) 247-1013

7375 Day Creek Blvd
Ste 105
Rancho Cucamonga, CA 91739
Phone (909) 646-7443

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • 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.