Organization Active NPI

Lee Dao Inc

Doing business as Lee Eyecare Center

  • Optometrist
  • Mesa, AZ
National Provider Identifier
1386701597
Registry record updated Dec 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1134 Issued in AZ
Legal business name
LEE DAO INC
Doing business as
Lee Eyecare Center
Practice address
9265 E Baseline Rd
Ste. 102
Mesa, AZ 85209-8312
Phone
(480) 354-4030
Fax
(480) 354-4492
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2014

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

Authorized official

Name
Dr. Christopher E. Lee, O.D.NPI 1194872333
Title
President
Phone
(480) 354-4030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1134 AZ Primary

Addresses

Primary practice location

9265 E Baseline Rd
Ste. 102
Mesa, AZ 85209-8312

Mailing address

9265 E Baseline Rd
Ste. 102
Mesa, AZ 85209-8312
Phone (480) 354-4030

Other identifiers 2

IdentifierTypeStateIssuer
Z74488OtherAZPTAN
1386701597OtherAZNPI

Other names 1

  • Lee Eyecare Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040621001543 AZ Part B Supplier - Clinic/Group Practice 3274518543 Receives reassigned benefits from 3 practitioners
Practice locations: Mesa, AZ

National Provider Directory

National Provider Directory

Locations

9265 E Baseline Rd
Ste 102
Mesa, AZ 85209
Phone (480) 354-4030

9265 E Baseline Rd
Mesa, AZ 85209

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417392000000",
    "number": "1386701597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9265 E BASELINE RD",
            "address_2": "STE. 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852098312",
            "telephone_number": "480-354-4030",
            "fax_number": "480-354-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9265 E BASELINE RD",
            "address_2": "STE. 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852098312",
            "telephone_number": "480-354-4030",
            "fax_number": "480-354-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE DAO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2014-12-01",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-354-4030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "Z74488",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1386701597",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lee Eyecare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.