Active NPI
Anne Cindy Lee, OD, FAAO
- Pediatric Optometrist
- Hawthorne, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Optometrist
- License
- 13467
- Practice address
- 13427 Inglewood Ave
Hawthorne, CA 90250-5608 - Phone
- (310) 676-2020
- NPI assigned
- Jul 7, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Optometrist | 152WP0200X | 13467 | CA | Primary |
| Optometrist | 152W00000X | 1324 | AZ | |
| Optometrist | 152W00000X | 13467 | CA |
Addresses
Primary practice location
13427 Inglewood Ave
Hawthorne, CA 90250-5608
Mailing address
1828 Walnut Ave
Manhattan Beach, CA 90266-5019
Phone (917) 554-5336
Other practice location 1
223 Manhattan Beach Blvd
Manhattan Beach, CA 90266-5314
Phone (310) 545-4090
Other practice location 2
1828 Walnut Ave
Manhattan Beach, CA 90266-5019
Phone (917) 554-5336
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11423229 | Other | CAQH UNIVERSAL CREDENTIAL |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1324 | AZ | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden San Gabriel Optometric Vision Center | Optometrist | Current | Accepting new patients |
| Total Vision PC | Optometrist | Current | Accepting new patients |
| Semel Vision Care | Current | Accepting new patients | |
| Eye Sight Optician, Inc. | Past | Accepting new patients | |
| Prime Eye Care PC | Optometrist | Past | Accepting new patients |
| Paw Optometry | Optometrist | Past | Accepting new patients |
| John E. Maanum, O.D. | Optometrist | Past | Accepting new patients |
| M Alexander Bonakdar OD Inc | Optometrist | Past | Accepting new patients |
Locations
390 N Pacific Coast Hwy
Ste 1100
El Segundo, CA 90245
Phone (310) 641-1700
140 W Valley Blvd
Ste 115
San Gabriel, CA 91776
Phone (626) 288-8023
Organizations & group practices 9
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.
-
- Optometrist
- San Gabriel, CA
- NPI 1740216936
-
- Specialist
- El Segundo, CA
- NPI 1710971742
-
- Optometrist
- Trabuco Canyon, CA
- NPI 1356205652
-
- Optometrist
- San Diego, CA
- NPI 1356813711
-
- Optician
- Manhattan Beach, CA
- NPI 1801949755
-
- Optometrist
- Hawthorne, CA
- NPI 1902942204
-
- Optometrist
- Manhattan Beach, CA
- NPI 1548021637
-
- Optometrist
- Phoenix, AZ
- NPI 1447226295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653523200000",
"number": "1366440018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1828 WALNUT AVE",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902665019",
"telephone_number": "917-554-5336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13427 INGLEWOOD AVE",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902505608",
"telephone_number": "310-676-2020"
}
],
"practiceLocations": [
{
"address_1": "223 Manhattan Beach Blvd",
"address_purpose": "LOCATION",
"city": "Manhattan Beach",
"state": "CA",
"postal_code": "902665314",
"country_code": "US",
"telephone_number": "310-545-4090",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1828 Walnut Ave",
"address_purpose": "LOCATION",
"city": "Manhattan Beach",
"state": "CA",
"postal_code": "902665019",
"country_code": "US",
"telephone_number": "917-554-5336",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "ANNE",
"middle_name": "CINDY",
"name_prefix": "Dr.",
"credential": "OD, FAAO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-07",
"last_updated": "2022-05-26",
"certification_date": "2022-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "CA",
"license": "13467",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "1324",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "13467",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH UNIVERSAL CREDENTIAL",
"identifier": "11423229",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hawthorne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.