Organization Active NPI

Lee Eyecare Center, P.C.

  • Optometrist
  • Baltimore, MD
National Provider Identifier
1346543105
Registry record updated Apr 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA2224 Issued in MD
Legal business name
LEE EYECARE CENTER, P.C.
Practice address
2701 Port Covington Dr
Baltimore, MD 21230-5004
Phone
(410) 625-2868
Fax
(410) 837-4937
NPI assigned
Dec 15, 2010
Last updated
Apr 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2011

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

Authorized official

Name
Dr. Jane Lee, O.D.NPI 1851529846
Title
Optometrist
Phone
(410) 717-8131

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TA2224 MD Primary

Addresses

Primary practice location

2701 Port Covington Dr
Baltimore, MD 21230-5004

Mailing address

15 Charles PLZ
Ste #202
Baltimore, MD 21201-3989
Phone (410) 717-8131

National Provider Directory

National Provider Directory

Locations

2701 Port Covington Dr
Baltimore, MD 21230
Phone (410) 625-1971

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": "1292371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302825600000",
    "number": "1346543105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CHARLES PLZ",
            "address_2": "STE #202",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212013989",
            "telephone_number": "410-717-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 PORT COVINGTON DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212305004",
            "telephone_number": "410-625-2868",
            "fax_number": "410-837-4937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE EYECARE CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-15",
        "last_updated": "2011-04-15",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "410-717-8131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; 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.