Individual provider Active NPI

Joseph I-Fine Lee

  • Optometrist
  • Kirkland, WA
National Provider Identifier
1346683349
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
60387541 Issued in WA
Practice address
134 Central Way
Kirkland, WA 98033
Phone
(425) 889-2020
NPI assigned
Apr 10, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 60387541 WA Primary

Addresses

Primary practice location

134 Central Way
Kirkland, WA 98033

Mailing address

9608 NE 182ND CT Unit C
Bothell, WA 98011-3477
Phone (949) 246-9760

Other practice location 1

14841 179th Ave SE Ste 110
Monroe, WA 98272-1127
Phone (360) 794-2020

Other names 1

  • Joseph I-Fine Chiang Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20141007002132 WA Practitioner - Optometry 3274753678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monroe Vision Clinic IncGroup PAC ID 5890686083, 5 clinicians

Practice addresses (Care Compare)

14841 179TH Ave SE
Suite 110
Monroe, WA 98272-1127
Phone (360) 794-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60387541WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Monroe Vision Clinic, Inc Optometrist CurrentSince May 1, 2019 Accepting new patients

Locations

14841 179th Ave SE
Ste 110
Monroe, WA 98272
Phone (360) 794-2020

1924 Bickford Ave
Ste 201
Snohomish, WA 98290
Phone (360) 794-2020

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1346683349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9608 NE 182ND CT UNIT C",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113477",
            "telephone_number": "949-246-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 CENTRAL WAY",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "98033",
            "telephone_number": "425-889-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14841 179th Ave SE Ste 110",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "WA",
            "postal_code": "982721127",
            "country_code": "US",
            "telephone_number": "360-794-2020",
            "fax_number": "360-794-7631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "JOSEPH",
        "middle_name": "I-FINE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-10",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60387541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSEPH",
            "last_name": "CHIANG",
            "middle_name": "I-FINE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kirkland, WA

Sources for this page

Verify at the official NPI Registry.