Active NPI
Terry J Lee, MD
- Ophthalmology Physician
- Oak Harbor, WA
National Provider Identifier
1447249222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD00025687
- Practice address
- 231 SE Barrington Dr
Ste 208
Oak Harbor, WA 98277-3200 - Phone
- (360) 240-2020
- Fax
- (360) 240-1989
- NPI assigned
- Oct 14, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD00025687 | WA | Primary |
Addresses
Primary practice location
231 SE Barrington Dr
Ste 208
Oak Harbor, WA 98277-3200
Mailing address
231 SE Barrington Dr
Ste 208
Oak Harbor, WA 98277-3200
Phone (360) 240-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1100148 | Medicaid | WA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00025687 | WA | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262822400000",
"number": "1447249222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 SE BARRINGTON DR",
"address_2": "STE 208",
"city": "OAK HARBOR",
"state": "WA",
"postal_code": "982773200",
"telephone_number": "360-240-2020",
"fax_number": "360-240-1989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 SE BARRINGTON DR",
"address_2": "STE 208",
"city": "OAK HARBOR",
"state": "WA",
"postal_code": "982773200",
"telephone_number": "360-240-2020",
"fax_number": "360-240-1989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "TERRY",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-14",
"last_updated": "2010-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "WA",
"license": "MD00025687",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1100148",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oak Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.