Stephen Yong Taek Lee, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MA06655300 Issued in NJ

Practice address

220 Lake Dr E Ste 105
Cherry Hill, NJ 08002-1165

Phone

(856) 809-4200

Fax

(856) 306-5231

NPI assigned

Feb 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NJ, PA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Ophthalmology

Education

University of Texas Southwestern Medical School at Dallas, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

96.46 of 100Reported as individual

Quality

92.91

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: slee@lva.emadirect.md

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.

• Lee Vision Associates LLC

  • Ophthalmology Physician
  • Cherry Hill, NJ
  • NPI 1821603838

  PA

  Medicare reassignment NPD Authorized official
• Ophthalmic Partners of Delaware, PA

  • Ophthalmology Physician
  • Wilmington, DE
  • NPI 1750355715
  NPD (past)

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602374400000",
    "number": "1346213907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 LAKE DR E STE 105",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080021165",
            "telephone_number": "856-809-4200",
            "fax_number": "856-306-5231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 LAKE DR E STE 105",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080021165",
            "telephone_number": "856-809-4200",
            "fax_number": "856-306-5231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Presidential Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Bala Cynwyd",
            "state": "PA",
            "postal_code": "190041108",
            "country_code": "US",
            "telephone_number": "484-434-2700",
            "fax_number": "610-660-0419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "STEPHEN",
        "middle_name": "YONG TAEK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2020-10-11",
        "certification_date": "2020-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD052294L",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "MA06655300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001518615-0001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6510906",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001518615-0002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kessy Jessica Lee, D.D.S.
• Mark H Lee, MD
• Michael James Lee, M.D.
• Robert Lee
• Sandra Lee
• Susanna Seungyeon Lee, OTR
• Yvonne Lee, APN, PMHNP-BC
• Tiffany Gabrielle Leech, OTRL
• Michael Owen Leff, MD
• Jean R Lefranc, OTR/L

• Ophthalmology Physician in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2020; 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.