Active NPI
Chong Lee, OD
- Optometrist
- Lacey, WA
National Provider Identifier
1255075834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD61441778
- Practice address
- 345 College St SE
Lacey, WA 98503-1014 - Phone
- (360) 456-3200
- NPI assigned
- Apr 21, 2022
- 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 | OD61441778 | WA | Primary |
Addresses
Primary practice location
345 College St SE
Lacey, WA 98503-1014
Mailing address
6102 Carmel LN SE
Lacey, WA 98503-1386
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)
- Enrolled
Interoperability endpoints
- clee@clarus.direct.eyemdemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737676800000",
"number": "1255075834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6102 CARMEL LN SE",
"city": "LACEY",
"state": "WA",
"postal_code": "985031386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 COLLEGE ST SE",
"city": "LACEY",
"state": "WA",
"postal_code": "985031014",
"telephone_number": "360-456-3200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "CHONG",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-21",
"last_updated": "2025-01-24",
"certification_date": "2025-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "OD61441778",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lacey, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.