Active NPI
Kristine M Lee, O.D.
- Optometrist
- Stockton, CA
National Provider Identifier
1306286687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 14643
- Practice address
- 3133 W March LN
Stockton, CA 95219-2336 - Phone
- (209) 951-0820
- NPI assigned
- Jul 1, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 14643 | CA | Primary |
Addresses
Primary practice location
3133 W March LN
Stockton, CA 95219-2336
Mailing address
3133 W March LN
Stockton, CA 95219-2336
Phone (209) 951-0820
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Optometric Care of Northern California PC | Optometrist | Past | Accepting new patients |
Interoperability endpoints
- kristine.lee@49412312072196.direct.elationemr.com
Organizations & group practices 1
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.
-
- Optometrist
- Rancho Cordova, CA
- NPI 1154972404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396483200000",
"number": "1306286687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3133 W MARCH LN",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952192336",
"telephone_number": "209-951-0820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3133 W MARCH LN",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952192336",
"telephone_number": "209-951-0820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "KRISTINE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-01",
"last_updated": "2014-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "14643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.