Jimin Lee, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

13779 Issued in CA

Practice address

100 N Wiget LN Ste 270
Walnut Creek, CA 94598-5901

Phone

(925) 705-7299

NPI assigned

Feb 28, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• California Eye Clinic

  • Ophthalmology Physician
  • San Ramon, CA
  • NPI 1730479957
  Medicare reassignment NPD
• Vahid Feiz, MD, Inc

  • Ophthalmology Physician
  • Walnut Creek, CA
  • NPI 1699211565
  Medicare reassignment NPD
• California Eye Clinic

  • Ophthalmology Physician
  • Walnut Creek, CA
  • NPI 1225172356

  Optometrist

  NPD
• Luxottica of America Inc.

  • Eyewear Supplier
  • Riverside, CA
  • NPI 1366598120
  NPD (past)
• Luxottica of America Inc

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1267315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573862400000",
    "number": "1346562659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 ROSE ST",
            "address_2": "UNIT A",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947021108",
            "telephone_number": "510-439-6249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N WIGET LN STE 270",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945985901",
            "telephone_number": "925-705-7299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JIMIN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-28",
        "last_updated": "2019-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elise Janine Lee, NP-C
• Elizabeth Ann Lee, BSN, RN, CRNFA
• Hee Eun Lee
• Hyun Lee, MD
• Iting Alice Lee
• Joonoh Lee
• Joshua Andrew Lee, M.D.
• Judyth Grace Lee, DMD
• Julia Lee, DDS
• Kai C. Lee, MD

• Optometrist in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.