Perry K Lee OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1558 Issued in GA

Legal business name

PERRY K LEE OD PC

Practice address

1051 A Park Dr.
Greensboro, GA 30642-3465

Phone

(706) 453-4535

Fax

(706) 453-4539

NPI assigned

Dec 14, 2006

Last updated

Oct 7, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Susan Stowers Lee, O.D.NPI 1801956503

Title

Optometrist

Phone

(706) 453-4535

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

Practitioners 4

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.

• Susan Stowers Lee, O.D.

  • Optometrist
  • Greensboro, GA
  • NPI 1801956503
  Medicare reassignment Care Compare group NPD Authorized official
• Perry K Lee, OD

  • Optometrist
  • Greensboro, GA
  • NPI 1679661250
  Medicare reassignment Care Compare group NPD
• John E. Titak, O.D.

  • Optometrist
  • Avondale Estates, GA
  • NPI 1962461319
  Medicare reassignment Care Compare group NPD
• Jinen Shah, OD

  • Optometrist
  • Marietta, GA
  • NPI 1629560032
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1184786683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 A PARK DR.",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306423465",
            "telephone_number": "706-453-4535",
            "fax_number": "706-453-4539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 A PARK DR.",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306423465",
            "telephone_number": "706-453-4535",
            "fax_number": "706-453-4539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY K LEE OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "STOWERS",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "706-453-4535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410045041",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000672581L",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Thomas E Parent, MD
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• Performance Chiropractic & Wellness
• Robert T Perry, PA
• Juan Luis Pimentel Jr., M.D.
• Simon E. Portee, M.D.
• Shelly Lovell Pound, D.M.D
• April Jackson Powell, DPT

• Optometrist in Greensboro, GA
• Providers in Greensboro, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.