Lee Optical

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1630 Issued in MA

Legal business name

LEE OPTICAL

Practice address

103 Pleasant St
Malden, MA 02148-4907

Phone

(781) 324-4111

Fax

(781) 321-4111

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Leon Kornhauser, R.D.O.

Title

Owner

Phone

(781) 324-4111

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Keith Paul Andrews, O.D.

  • Optometrist
  • Malden, MA
  • NPI 1023192200
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194843458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 PLEASANT ST",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021484907",
            "telephone_number": "781-324-4111",
            "fax_number": "781-321-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 PLEASANT ST",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021484907",
            "telephone_number": "781-324-4111",
            "fax_number": "781-321-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KORNHAUSER",
        "authorized_official_first_name": "LEON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-324-4111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.D.O."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MA",
            "license": "1630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP COMMONWEALTH CARE",
            "identifier": "0040137",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0311031",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Elizabeth Laws
• Kristina Lazar, O.D.
• Kim Thi Le, DMD
• David Myer Leader, DMD
• Jennifer Leahy
• Binna Lee, DMD
• Daniel Lee
• Ivy Htet Lee, M.D.
• James Emmanuel Lee, DMD
• Jennifer Lee, MA

• Durable Medical Equipment & Medical Supplies in Malden, MA
• Providers in Malden, MA by specialty
• Durable Medical Equipment & Medical Supplies in Massachusetts

• 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.