Organization Active NPI

Dr. Angela Deann Lee ,Inc

  • Optometrist
  • Alpharetta, GA
National Provider Identifier
1386165249
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1284 Issued in GA
Legal business name
DR. ANGELA DEANN LEE ,INC
Practice address
1005 Powers PL
Alpharetta, GA 30009-8356
Phone
(770) 712-9125
NPI assigned
Jun 30, 2017
Organization subpart
Yes
Parent organization
DR. ANGELA D LEE ODAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Angela Deann Lee, OD
Title
Optometrist
Phone
(770) 712-9125

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1284 GA Primary
Corneal and Contact Management OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WC0802X 1284 GA
Eyewear Supplier 332H00000X 1284 GA

Addresses

Primary practice location

1005 Powers PL
Alpharetta, GA 30009-8356

Mailing address

959 Bridgegate Dr NE
Marietta, GA 30068-2206
Phone (770) 712-9125

National Provider Directory

National Provider Directory
Part of
Atlanta Eye Care Center

Locations

1005 Powers Pl
Alpharetta, GA 30009
Phone (770) 712-9125

NPI Registry JSON

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

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1386165249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "959 BRIDGEGATE DR NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300682206",
            "telephone_number": "770-712-9125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 POWERS PL",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300098356",
            "telephone_number": "770-712-9125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ANGELA DEANN LEE ,INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR. ANGELA D LEE OD",
        "enumeration_date": "2017-06-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "DEANN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "770-712-9125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1284",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "GA",
            "license": "1284",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "GA",
            "license": "1284",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.