Organization Active NPI

Brian Lee, O.D. Professional Corporation

  • Optometrist
  • Monterey Park, CA
National Provider Identifier
1386988111
Registry record updated Aug 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13813TLG Issued in CA
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

Updated by the provider on Aug 16, 2013

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

Authorized official

Name
Dr. Brian Lee, O.D.NPI 1356574503
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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.