Spex 88 Optometry Corp

Primary specialty

OptometristTaxonomy code 152W00000X

License

13467 Issued in CA

Legal business name

SPEX 88 OPTOMETRY CORP

Doing business as

Prime Eye Care Optometry

Practice address

18045 Magnolia St
Fountain Valley, CA 92708-5638

Phone

(917) 554-5336

NPI assigned

Mar 24, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Patrick S. Lee, O.D.NPI 1942465968

Title

President/Owner

Phone

(714) 593-3937

Specialties & licenses 1

Addresses

Other names 1

• Prime Eye Care Optometry Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Patrick Shuenchung Lee, O.D.

  • Optometrist
  • Fountain Valley, CA
  • NPI 1942465968
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1269388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290470400000",
    "number": "1205150976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18045 MAGNOLIA ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085638",
            "telephone_number": "917-554-5336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18045 MAGNOLIA ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085638",
            "telephone_number": "917-554-5336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEX 88 OPTOMETRY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-24",
        "last_updated": "2010-11-23",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "714-593-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Eye Care Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher Spagnesi, RBT
• Specialty Surgery Center at Fountain Valley Regional Hospital LLC
• Odessa Holbrooke Speirs, P.A.
• Samantha Victoria Spencer
• Malcolm Sperling, MD
• Drew W Spindler, PA-C
• Sridhara K S Iyengar M D Inc
• St Catherine Health Care Providers
• Carla St Laurent, MD
• St. Joseph - St. Theresa Medical, Inc.

• Optometrist in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; 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.