Active NPI
Gloria Ann Lee, OPTICIAN/OWNER
- Optician
- Ringgold, GA
National Provider Identifier
1407026404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Practice address
- 192 Lafayette St
Ringgold, GA 30736-2431 - Phone
- (706) 965-2020
- Fax
- (706) 965-2020
- NPI assigned
- Mar 5, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | GA | Primary |
Addresses
Primary practice location
192 Lafayette St
Ringgold, GA 30736-2431
Mailing address
192 Lafayette St
Ringgold, GA 30736-2431
Phone (706) 965-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gloria Lee | Optician | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Optician
- Ringgold, GA
- NPI 1124146071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476144000000",
"number": "1407026404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "192 LAFAYETTE ST",
"city": "RINGGOLD",
"state": "GA",
"postal_code": "307362431",
"telephone_number": "706-965-2020",
"fax_number": "706-965-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "192 LAFAYETTE ST",
"city": "RINGGOLD",
"state": "GA",
"postal_code": "307362431",
"telephone_number": "706-965-2020",
"fax_number": "706-965-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "GLORIA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "OPTICIAN/OWNER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-05",
"last_updated": "2016-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ringgold, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.