Active NPI
Stella Lou Lee, O.D.
- Optometrist
- New York, NY
National Provider Identifier
1336115658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 006242
- Practice address
- 17 Elizabeth St
Suite 401
New York, NY 10013-4803 - Phone
- (212) 226-3937
- Fax
- (212) 226-3372
- NPI assigned
- Feb 27, 2006
- 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 | 006242 | NY | Primary |
Addresses
Primary practice location
17 Elizabeth St
Suite 401
New York, NY 10013-4803
Mailing address
17 Elizabeth St
Suite 401
New York, NY 10013-4803
Phone (212) 226-3937
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C389E1 | Other | NY | BLUE CROSS BLUE SHIELD |
| 6501889 | Other | NY | GHI |
| P2576713 | Other | NY | OXFORD |
| 02239632 | Medicaid | NY |
Other names 1
- Stella Lou
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- State University of New York - State College Optometry, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
99 Elizabeth St
2ND FL
New York, NY 10013-4729
Phone (212) 227-8837
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Eye Physician PLLC | Optometrist | Current | Accepting new patients |
| Grand Fashion Optical, Inc | Optometrist | Current | Accepting new patients |
| New York City Health and Hospitals Corporation | Past | Accepting new patients |
Locations
2 Mott St
Rm 206
New York, NY 10013
Phone (212) 227-4505
Organizations & group practices 3
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.
-
- Clinic/Center
- New York, NY
- NPI 1548208127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1336115658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 ELIZABETH ST",
"address_2": "SUITE 401",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100134803",
"telephone_number": "212-226-3937",
"fax_number": "212-226-3372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 ELIZABETH ST",
"address_2": "SUITE 401",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100134803",
"telephone_number": "212-226-3937",
"fax_number": "212-226-3372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOU LEE",
"first_name": "STELLA",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-27",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "006242",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "C389E1",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "6501889",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P2576713",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02239632",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "STELLA",
"last_name": "LOU",
"credential": "OD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.