Organization Active NPI

Dr. Palmer N. Lee, OD Inc

Doing business as EYEcenter Optometric

  • Optometrist
  • Folsom, CA
National Provider Identifier
1346696812
Registry record updated May 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT5895TPL Issued in CA
Legal business name
DR. PALMER N. LEE, OD INC
Doing business as
EYEcenter Optometric
Practice address
421 Blue Ravine Rd Ste 300
Folsom, CA 95630-3821
Phone
(916) 983-1066
Fax
(916) 984-6922
NPI assigned
May 13, 2016
Last updated
May 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2016

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

Authorized official

Name
Palmer N Lee, OD
Title
Owner
Phone
(916) 983-1066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X OPT5895TPL CA Primary

Addresses

Primary practice location

421 Blue Ravine Rd Ste 300
Folsom, CA 95630-3821

Mailing address

421 Blue Ravine Rd Ste 300
Folsom, CA 95630-3821
Phone (916) 983-1066

Other names 1

  • EYEcenter Optometric Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463097600000",
    "number": "1346696812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 BLUE RAVINE RD STE 300",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303821",
            "telephone_number": "916-983-1066",
            "fax_number": "916-984-6922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 BLUE RAVINE RD STE 300",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303821",
            "telephone_number": "916-983-1066",
            "fax_number": "916-984-6922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. PALMER N. LEE, OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-13",
        "last_updated": "2016-05-13",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "PALMER",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-983-1066",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT5895TPL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EYEcenter Optometric",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; 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.