Justin Wayne Lee, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618001231 Issued in VA

Practice address

113 Doctors Dr
Greenville, SC 29605-5608

Phone

(864) 269-3333

NPI assigned

Jun 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southern Eye Associates of SC, PA

  • Eyewear Supplier
  • Clemson, SC
  • NPI 1467228080
  NPD
• Southern Eye Associates of South Carolina, PA

  • Ophthalmology Physician
  • Greenville, SC
  • NPI 1215933510

  Optometrist

  NPD
• Sterling Adult Day Services

  • Adult Day Care Clinic/Center
  • Colorado Springs, CO
  • NPI 1497927529
  NPD (past)
• Sterling Medical Associates

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Cincinnati, OH
  • NPI 1336226729
  NPD (past)

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1285670513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 S ARLINGTON MILL DR",
            "address_2": "916",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "22206",
            "telephone_number": "571-643-6254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 DOCTORS DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296055608",
            "telephone_number": "864-269-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JUSTIN",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9237640",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holly Marie Lee, CCC-SLP
• Hwang Ku Lee, L.AC. PH.D
• Jennifer Morris Lee, FNP
• Jeremy Dennis Lee, CRNA
• Jun Hee Lee, M.D.
• Kailey Lee
• Kendra Lee
• Kimberly Lee I
• Kunhee Lee
• Lisa Renae Lee, CRNA

• Optometrist in Greenville, SC
• Providers in Greenville, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.