Active NPI
Brian Lee, O.D. Professional Corporation
- Optometrist
- Monterey Park, CA
National Provider Identifier
1386988111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 13813TLG
- Legal business name
- BRIAN LEE, O.D. PROFESSIONAL CORPORATION
- Practice address
- 500 S Atlantic Blvd
Suite a
Monterey Park, CA 91754-3870 - Phone
- (626) 570-8800
- Fax
- (626) 570-8892
- NPI assigned
- Nov 16, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brian Lee, O.D.
- Title
- Owner
- Phone
- (626) 570-8800
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 13813TLG | CA | Primary |
Addresses
Primary practice location
500 S Atlantic Blvd
Suite a
Monterey Park, CA 91754-3870
Mailing address
500 S Atlantic Blvd
Suite a
Monterey Park, CA 91754-3870
Phone (626) 570-8800
National Provider Directory
National Provider DirectoryLocations
500 S Atlantic Blvd
Ste A
Monterey Park, CA 91754
Phone (626) 537-9987
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Houston, TX
- NPI 1356574503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353024000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1376611200000",
"number": "1386988111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 S ATLANTIC BLVD",
"address_2": "SUITE A",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917543870",
"telephone_number": "626-570-8800",
"fax_number": "626-570-8892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 S ATLANTIC BLVD",
"address_2": "SUITE A",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917543870",
"telephone_number": "626-570-8800",
"fax_number": "626-570-8892"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIAN LEE, O.D. PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-16",
"last_updated": "2013-08-16",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "626-570-8800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "CA",
"license": "13813TLG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monterey Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.