On-Tat Lee, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A138659 Issued in CA

Practice address

1617 Saint Marks PLZ Ste D
Stockton, CA 95207-6478

Phone

(209) 478-1797

Fax

(209) 478-1224

NPI assigned

May 4, 2012

Last updated

Jul 14, 2023By the provider in NPPES

Sex

Male

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 CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

University of California, Davis School of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Delta Eye Medical Group, Inc.Group PAC ID 6204873870, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.59 of 100Reported as group

Quality

94.66

Improvement activities

40

Cost

82.8

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: olee93089@hpmg.direct-ci.net

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

• Delta Eye Medical Group, Inc.

  • Ophthalmology Physician
  • Tracy, CA
  • NPI 1184812851
  Medicare reassignment Care Compare group NPD
• Delta Eye Medical Group, Inc.

  • Ophthalmology Physician
  • Stockton, CA
  • NPI 1407964679
  NPD
• Sutter Valley Hospitals

  dba Memorial Medical Center

  • General Acute Care Hospital
  • Modesto, CA
  • NPI 1699129601
  NPD (past)
• St. Joseph's Hospital, Yonkers

  • General Acute Care Hospital
  • Yonkers, NY
  • NPI 1336236629
  NPD (past)

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

{
    "created_epoch": "1336089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1194084517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 SAINT MARKS PLZ STE D",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076478",
            "telephone_number": "209-478-1797",
            "fax_number": "209-478-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 SAINT MARKS PLZ STE D",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076478",
            "telephone_number": "209-478-1797",
            "fax_number": "209-478-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ON-TAT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-04",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A138659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leanne Lee, O.D.
• Mai Lue Lee
• Mai Sue Lee
• Meng-Chen Lee, NP
• Nanjoo Lee, DDS
• Paul H. Lee, MD
• Raheem Dushad Lee
• Raynell T. Lee, MD
• Robert B Lee, D.D.S.
• Stephanie Lee, RD

• Ophthalmology Physician in Stockton, CA
• Providers in Stockton, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.