John J W Lee MD PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD071940L Issued in PA

Legal business name

JOHN J W LEE MD PC

Practice address

1360 Wyoming Ave
Scranton, PA 18509

Phone

(570) 504-5888

Fax

(610) 566-6107

NPI assigned

Sep 16, 2006

Organization subpart

No

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

Authorized official

Name

John J W Lee, MD

Title

President

Phone

(610) 789-6701

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1386740124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 WEST CHESTER PIKE",
            "address_2": "SUITE 100",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "19083",
            "telephone_number": "610-789-6701",
            "fax_number": "610-789-6704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 WYOMING AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "18509",
            "telephone_number": "570-504-5888",
            "fax_number": "610-566-6107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN J W LEE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-789-6701",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD071940L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD3906",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Scranton, PA
• Providers in Scranton, PA by specialty
• Ophthalmology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.