Kellee Leangsok Tea, OD

Primary specialty

Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X

License

13559TLG Issued in CA

Practice address

14361 Beach Blvd Ste 201
Westminster, CA 92683-8140

Phone

(714) 684-1711

Fax

(714) 684-1920

NPI assigned

Jul 3, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Horizon Optometry Group, PC

  • Optometrist
  • Westminster, CA
  • NPI 1306430384
  Medicare reassignment NPD
• Marshall B. Ketchum University

  • Optometrist
  • Anaheim, CA
  • NPI 1720101876
  Medicare reassignment NPD
• Horizon Optometry Vision Center, PC

  • Optometrist
  • Westminster, CA
  • NPI 1639797269
  NPD
• Marshall B. Ketchum University

  • Multi-Specialty Clinic/Center
  • Anaheim, CA
  • NPI 1174037493
  NPD

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1386807964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14361 BEACH BLVD STE 201",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926838140",
            "telephone_number": "714-684-1711",
            "fax_number": "714-775-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14361 BEACH BLVD STE 201",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926838140",
            "telephone_number": "714-684-1711",
            "fax_number": "714-684-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEA",
        "first_name": "KELLEE",
        "middle_name": "LEANGSOK",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-03",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002088",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "CA",
            "license": "13559TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Taylor
• TCT Care Inc
• TD Nguyen Dental Corp
• TDH Pharmacy, Inc.
• Tduong Inc
• Suzanne L Temple, D.C.
• Michelle Terrazas
• Thai Quang Nguyen, M.D., Inc.,
• Brian Huy Thai, DMD
• Dieumy Thai, M.D.

• Low Vision Rehabilitation Optometrist in Westminster, CA
• Providers in Westminster, CA by specialty
• Low Vision Rehabilitation Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.

Verify at the official NPI Registry.