Mark Lee, OD LTD

Primary specialty

OptometristTaxonomy code 152W00000X

License

NV0390 Issued in NV

Legal business name

MARK LEE, OD LTD

Practice address

4735 S Durango Ste 145
Las Vegas, NV 89147-8169

Phone

(702) 876-4656

NPI assigned

Mar 31, 2007

Organization subpart

No

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

Authorized official

Name

Mark Lee, O.D.NPI 1669400172

Title

President

Phone

(702) 876-4656

Specialties & licenses 1

Addresses

Other names 1

• Vision Source Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Robert Lee, O.D.

  • Optometrist
  • Las Vegas, NV
  • NPI 1669400172
  NPD (past) Authorized official

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

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1316067358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4735 S DURANGO STE 145",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478169",
            "telephone_number": "702-876-4656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4735 S DURANGO STE 145",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478169",
            "telephone_number": "702-876-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK LEE, OD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-31",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-876-4656",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NV",
            "license": "NV0390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Source",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark D Edington DDS LTD
• Mark G Hendserson MD PC
• Mark H Steinhauer, MD PC
• Mark I Degen DDS MD LTD
• Mark J. Collins, D.O., P.C.
• Mark O. Reed, MD, PC
• Mark Ohriner OD LTD
• Mark Ohriner OD LTD
• Mark Peller OD and Associates PC
• Mark S. James LTD

• Optometrist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.