Organization Active NPI

Dr Robert F Lee

  • Optometrist
  • Detroit, MI
National Provider Identifier
1346402856
Registry record updated Nov 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003122 Issued in MI
Legal business name
DR ROBERT F LEE
Practice address
15157 Gratiot Ave
Detroit, MI 48205-1324
Phone
(313) 526-7664
Fax
(313) 526-2055
NPI assigned
Jun 26, 2008
Last updated
Nov 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2008

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

Authorized official

Name
Dr. Robert F LeeNPI 1013909555
Title
Owner
Phone
(313) 526-7664

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901003122 MI Primary

Addresses

Primary practice location

15157 Gratiot Ave
Detroit, MI 48205-1324

Mailing address

15157 Gratiot Ave
Detroit, MI 48205-1324
Phone (313) 526-7664

National Provider Directory

National Provider Directory

Locations

15157 Gratiot Ave
Detroit, MI 48205
Phone (313) 526-7664

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225756800000",
    "number": "1346402856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15157 GRATIOT AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482051324",
            "telephone_number": "313-526-7664",
            "fax_number": "313-526-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15157 GRATIOT AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482051324",
            "telephone_number": "313-526-7664",
            "fax_number": "313-526-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ROBERT F LEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-11-04",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-526-7664",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.