Individual provider Active NPI

Cindy Lee, OD

  • Optometrist
  • Santa Clara, CA
National Provider Identifier
1194615831
Registry record updated Jul 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
36000 Issued in CA
Practice address
860 Quince Ave Apt 208C
Santa Clara, CA 95051-4101
Phone
(317) 709-5883
NPI assigned
Jul 5, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 36000 CA Primary

Addresses

Primary practice location

860 Quince Ave Apt 208C
Santa Clara, CA 95051-4101

Mailing address

860 Quince Ave Apt 208C
Santa Clara, CA 95051-4101

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250812002472 CA Practitioner - Optometry 8527566231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Vision PCGroup PAC ID 9234472242, 115 clinicians

Practice addresses (Care Compare)

19459 Stevens Creek Blvd
Suite 110
Cupertino, CA 95014-7148
Phone (408) 996-9886

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Total Vision PC Optometrist CurrentSince Jul 29, 2025 Accepting new patients
J Pietrantonio OD Inc Optometrist PastSince Jan 1, 2005 Accepting new patients

Locations

19459 Stevens Creek Blvd
Ste 110
Cupertino, CA 95014
Phone (408) 996-9886

233 N Santa Cruz Ave
Los Gatos, CA 95030
Phone (408) 354-9310

310 Barber Ct
Unit 180
Milpitas, CA 95035
Phone (408) 432-8101

27271 Las Ramblas
Ste 210
Mission Viejo, CA 92691

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1751673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751673600000",
    "number": "1194615831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 QUINCE AVE APT 208C",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950514101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 QUINCE AVE APT 208C",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950514101",
            "telephone_number": "317-709-5883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "CINDY",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-05",
        "last_updated": "2025-07-05",
        "certification_date": "2025-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "36000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

Verify at the official NPI Registry.