Active NPI
Scott Frederick Lee, O.D.
- Optometrist
- Newport Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 11911T
- Practice address
- 361 Hospital Rd
Suite 327
Newport Beach, CA 92663-3522 - Phone
- (949) 642-3100
- Fax
- (949) 642-4900
- NPI assigned
- Aug 15, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 11911T | CA | Primary |
Addresses
Primary practice location
361 Hospital Rd
Suite 327
Newport Beach, CA 92663-3522
Mailing address
15555 Huntington Village LN
Apt 191
Huntington Beach, CA 92647-3054
Phone (714) 893-5979
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2280 E Carson St
Long Beach, CA 90807-3044
Phone (562) 422-2020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11911 | CA | MD | Mental Health Counselor |
| 11911T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Vision PC | Optometrist | Current | Accepting new patients |
| Dr.Harvey Goldstone, a Professional Corporation | Optometrist | Current | Accepting new patients |
| Steven T Klein OD & Kimberly Plattner OD a Professional Corporation | Optometrist | Past | Accepting new patients |
| Seal Beach Eyes Optometry Inc | Optometrist | Past | Accepting new patients |
| Marina Eyecare Center | Optometrist | Past | Accepting new patients |
Locations
9107 Garfield Ave
Fountain Vly, CA 92708
Phone (714) 963-2020
2280 E Carson St
Long Beach, CA 90807
Phone (562) 422-2020
12461 W Washington Blvd
Los Angeles, CA 90066
Phone (310) 390-6287
27271 Las Ramblas
Ste 210
Mission Viejo, CA 92691
11717 Bernardo Plaza Ct
Ste 105
San Diego, CA 92128
Phone (858) 487-5555
1190 Pacific Coast Hwy
Ste E
Seal Beach, CA 90740
Phone (562) 431-2031
Organizations & group practices 5
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.
-
- Optometrist
- San Diego, CA
- NPI 1356813711
-
- Optometrist
- Long Beach, CA
- NPI 1316156037
-
- Optometrist
- Los Angeles, CA
- NPI 1407917701
-
- Optometrist
- Seal Beach, CA
- NPI 1124171566
-
- Optometrist
- San Diego, CA
- NPI 1861529703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376524800000",
"number": "1407289259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15555 HUNTINGTON VILLAGE LN",
"address_2": "APT 191",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926473054",
"telephone_number": "714-893-5979",
"fax_number": "949-642-4900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "361 HOSPITAL RD",
"address_2": "SUITE 327",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926633522",
"telephone_number": "949-642-3100",
"fax_number": "949-642-4900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SCOTT",
"middle_name": "FREDERICK",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-15",
"last_updated": "2013-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "11911T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.