Active NPI
Jung Min Lee, OD
- Optometrist
- Cedar Park, TX
National Provider Identifier
1225831175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 11350
- Practice address
- 1335 E Whitestone Blvd BLDG H600
Cedar Park, TX 78613-0012 - Phone
- (512) 690-9116
- NPI assigned
- Mar 28, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 11350 | TX | Primary |
Addresses
Primary practice location
1335 E Whitestone Blvd BLDG H600
Cedar Park, TX 78613-0012
Mailing address
1335 E Whitestone Blvd BLDG H600
Cedar Park, TX 78613-0012
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11350 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743120000000",
"number": "1225831175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1335 E WHITESTONE BLVD BLDG H600",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786130012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1335 E WHITESTONE BLVD BLDG H600",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786130012",
"telephone_number": "512-690-9116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JUNG MIN",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-28",
"last_updated": "2025-03-28",
"certification_date": "2025-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "11350",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.