Active NPI
Megan Justine Lee Laine, O.D.
- Optometrist
- Redmond, WA
National Provider Identifier
1437457793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 60629205
- Practice address
- 3925 159TH Ave NE
Redmond, WA 98052-6309 - Phone
- (425) 216-0550
- Fax
- (425) 216-0551
- NPI assigned
- Mar 9, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 14672 | CA | |
| Optometrist | 152W00000X | 60629205 | WA | Primary |
Addresses
Primary practice location
3925 159TH Ave NE
Redmond, WA 98052-6309
Mailing address
3925 159TH Ave NE
Redmond, WA 98052-6309
Phone (425) 216-0550
Other names 1
- Dr. Megan Justine Lee
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60629205 | WA | MD | Optometrist |
| 14672 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468972800000",
"number": "1437457793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3925 159TH AVE NE",
"city": "REDMOND",
"state": "WA",
"postal_code": "980526309",
"telephone_number": "425-216-0550",
"fax_number": "425-216-0551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3925 159TH AVE NE",
"city": "REDMOND",
"state": "WA",
"postal_code": "980526309",
"telephone_number": "425-216-0550",
"fax_number": "425-216-0551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAINE",
"first_name": "MEGAN",
"middle_name": "JUSTINE LEE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-09",
"last_updated": "2016-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "14672",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "60629205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MEGAN",
"last_name": "LEE",
"middle_name": "JUSTINE",
"prefix": "DR.",
"credential": "O.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.