Individual provider Active NPI

Yuwen Lee, O.D

  • Optometrist
  • Visalia, CA
National Provider Identifier
1285829861
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11912T Issued in CA
Practice address
503 S Watson St
Visalia, CA 93277-2641
Phone
(559) 625-2882
NPI assigned
Sep 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11912T CA Primary

Addresses

Primary practice location

503 S Watson St
Visalia, CA 93277-2641

Mailing address

503 S Watson St
Visalia, CA 93277-2641
Phone (559) 625-2882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151006002933 CA Practitioner - Optometry 7911215298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

503 S Watson St
Visalia, CA 93277-2641
Phone (559) 625-2882

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11912TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Yuwen Lee, O.D., Optometric Professional Corporation Optometrist CurrentSince Apr 2, 2003 Accepting new patients
Tom Yang MD Inc CurrentSince Oct 1, 2023 Accepting new patients

Locations

503 S Watson St
Visalia, CA 93277
Phone (559) 623-9636

3501 S Mooney Blvd
Visalia, CA 93277
Phone (559) 635-4200

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1285829861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 S WATSON ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932772641",
            "telephone_number": "559-625-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 S WATSON ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932772641",
            "telephone_number": "559-625-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "YUWEN",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-07",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11912T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.