NPIMap

Organization Active NPI

Suzanne Y Lee MD PC

  • Ophthalmology Physician
  • Highland, IN
National Provider Identifier
1215126008
Registry record updated May 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
01034128 Issued in IN
Legal business name
SUZANNE Y LEE MD PC
Doing business as
Suzanne Y. Lee, M.D., P.C.
Practice address
9131 Indianapolis Blvd
Highland, IN 46322-2504
Phone
(219) 838-9300
NPI assigned
Oct 17, 2007
Last updated
May 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2008

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

Authorized official

Name
Dr. Suzanne Yookyung Lee, M.D.NPI 1891884078
Title
President
Phone
(219) 838-9300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 01034128 IN Primary

Addresses

Primary practice location

9131 Indianapolis Blvd
Highland, IN 46322-2504

Mailing address

9131 Indianapolis Blvd
Highland, IN 46322-2504
Phone (219) 838-9300

Other identifiers 2

IdentifierTypeStateIssuer
000000086700OtherANTHEM
100212660 AMedicaidIN

Other names 1

  • Suzanne Y. Lee, M.D., P.C. Doing business as

National Provider Directory

National Provider Directory

Locations

9131 Indianapolis Blvd
Highland, IN 46322
Phone (219) 838-9300

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1215126008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9131 INDIANAPOLIS BLVD",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222504",
            "telephone_number": "219-838-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9131 INDIANAPOLIS BLVD",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222504",
            "telephone_number": "219-838-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZANNE Y LEE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "YOOKYUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-838-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01034128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000086700",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100212660 A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suzanne Y. Lee, M.D., P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Highland, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.