NPIMap

Organization Active NPI

Connie C. Lee, OD, PLLC

  • Optometrist
  • Puyallup, WA
National Provider Identifier
1235683582
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD60484667 Issued in WA
Legal business name
CONNIE C. LEE, OD, PLLC
Practice address
1100 N Meridian
Attn: Vista Optical
Puyallup, WA 98371-4403
Phone
(253) 848-9600
Fax
(253) 848-2597
NPI assigned
Aug 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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

Authorized official

Name
Connie Lee, O.D.
Title
Owner
Phone
(253) 848-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OD60484667 WA Primary

Addresses

Primary practice location

1100 N Meridian
Attn: Vista Optical
Puyallup, WA 98371-4403

Mailing address

1100 N Meridian
Attn: Vista Optical
Puyallup, WA 98371-4403
Phone (253) 848-9600

National Provider Directory

National Provider Directory

Locations

2514 N Adams St
Tacoma, WA 98406
Phone (253) 759-5679

NPI Registry JSON

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470268800000",
    "number": "1235683582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N MERIDIAN",
            "address_2": "ATTN: VISTA OPTICAL",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983714403",
            "telephone_number": "253-848-9600",
            "fax_number": "253-848-2597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N MERIDIAN",
            "address_2": "ATTN: VISTA OPTICAL",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983714403",
            "telephone_number": "253-848-9600",
            "fax_number": "253-848-2597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNIE C. LEE, OD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-04",
        "last_updated": "2016-08-04",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-848-9600",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60484667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; 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.