Organization Active NPI

R Alan Lee OD PC

  • Health Service Clinic/Center
  • Pinetop, AZ
National Provider Identifier
1376869354
Registry record updated May 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
R ALAN LEE OD PC
Practice address
43 W White Mountain Blvd
Pinetop, AZ 85935
Phone
(928) 367-3967
NPI assigned
Apr 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2010

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

Authorized official

Name
Dr. Ralph Alan Lee, O.D.
Title
President
Phone
(928) 367-3967

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X AZ Primary

Addresses

Primary practice location

43 W White Mountain Blvd
Pinetop, AZ 85935

Mailing address

PO Box 1370
Pinetop, AZ 85935-1370
Phone (928) 367-3967

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273017600000",
    "number": "1376869354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1370",
            "city": "PINETOP",
            "state": "AZ",
            "postal_code": "859351370",
            "telephone_number": "928-367-3967",
            "fax_number": "928-367-3136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 W WHITE MOUNTAIN BLVD",
            "city": "PINETOP",
            "state": "AZ",
            "postal_code": "85935",
            "telephone_number": "928-367-3967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R ALAN LEE OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-15",
        "last_updated": "2010-05-05",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-367-3967",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinetop, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; 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.