Louis Kon-Wai Lee, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3266 Issued in MN

Practice address

1500 109TH Ave NE
Blaine, MN 55449-4670

Phone

(763) 354-1003

Fax

(763) 354-1005

NPI assigned

Mar 30, 2012

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

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2011

Medicare assignment

May accept Medicare assignment

Group practices

Brokea Inc.Group PAC ID 9537328075, 8 clinicians

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.

• Brokea Inc.

  • Optometrist
  • Maple Grove, MN
  • NPI 1346453735
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1285900548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "778 PARKSIDE LN",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554215001",
            "telephone_number": "415-336-9328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 109TH AVE NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554494670",
            "telephone_number": "763-354-1003",
            "fax_number": "763-354-1005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 University Ave W",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551044103",
            "country_code": "US",
            "telephone_number": "651-646-3163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "LOUIS",
        "middle_name": "KON-WAI",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-30",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Rose Latterell, D.D.S.
• Angela Laughlin, APRN, NP-C
• David Karmue Lawor Jr., RN, BSN,CCRN
• Jean L Layman, O.D.
• Richard Leach, M.D.
• Song Lee, FNP-C
• Legacy Dental Care LLC
• Legacy Support LLC
• Sally S Leitch, M.D.
• Leo Human Services

• Optometrist in Blaine, MN
• Providers in Blaine, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; 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.