Individual provider Active NPI

Christopher E. Lee, O.D.

  • Optometrist
  • Mesa, AZ
National Provider Identifier
1194872333
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1134 Issued in AZ
Practice address
9265 E Baseline Rd
Ste. 102
Mesa, AZ 85209-8312
Phone
(480) 354-4030
Fax
(480) 354-4492
NPI assigned
Jan 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1134 AZ Primary

Addresses

Primary practice location

9265 E Baseline Rd
Ste. 102
Mesa, AZ 85209-8312

Mailing address

9265 E. Baseline Road
Ste. 102
Mesa, AZ 85209-8312
Phone (480) 354-4030

Other identifiers 1

IdentifierTypeStateIssuer
632233MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20111227000411 AZ Practitioner - Optometry 7214912013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lee Dao IncGroup PAC ID 3274518543, 2 clinicians

Practice addresses (Care Compare)

9265 E Baseline Rd
Suite 102
Mesa, AZ 85209-8312
Phone (480) 354-4030

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lee Dao Inc Optometrist CurrentSince Mar 17, 2003 Accepting new patients

Locations

9265 E Baseline Rd
Ste 102
Mesa, AZ 85209
Phone (480) 354-4030

Interoperability endpoints

  • Direct secure messaging: christopher.lee@uprisedirect.com

Organizations & group practices 1

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": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194872333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9265 E. BASELINE ROAD",
            "address_2": "STE. 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852098312",
            "telephone_number": "480-354-4030",
            "fax_number": "480-354-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9265 E BASELINE RD",
            "address_2": "STE. 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852098312",
            "telephone_number": "480-354-4030",
            "fax_number": "480-354-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "CHRISTOPHER",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "632233",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.