Individual provider Active NPI

Felix Lee, O.D.

  • Optometrist
  • North Bergen, NJ
National Provider Identifier
1356952105
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00698000 Issued in NJ
Practice address
7500 Bergenline Ave FL 2
North Bergen, NJ 07047-5401
Phone
(201) 537-6414
Fax
(201) 537-6411
NPI assigned
Aug 14, 2020
Last updated
May 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00698000 NJ Primary

Addresses

Primary practice location

7500 Bergenline Ave FL 2
North Bergen, NJ 07047-5401

Mailing address

7500 Bergenline Ave FL 2
North Bergen, NJ 07047-5401
Phone (201) 537-6414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230926002425 MD Practitioner - Optometry 8820409055 Reassigns benefits to 1 organization
I20250529003535 DC Practitioner - Optometry 8820409055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NV OptometryGroup PAC ID 1850626276, 4 clinicians

Practice addresses (Care Compare)

15511 Annapolis Rd
Suite 500
Bowie, MD 20715-3037
Phone (410) 268-6246

2626 Brandermill Blvd
Gambrills, MD 21054-1651
Phone (410) 451-9499

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00698000NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
A.G. Dikengil, MD, PA Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1356952105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 BERGENLINE AVE FL 2",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475401",
            "telephone_number": "201-537-6414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 BERGENLINE AVE FL 2",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475401",
            "telephone_number": "201-537-6414",
            "fax_number": "201-537-6411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "FELIX",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-14",
        "last_updated": "2021-05-21",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00698000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bergen, NJ

Sources for this page

Verify at the official NPI Registry.