Ernest Y. Lee, O.D. Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

11910T Issued in CA

Legal business name

ERNEST Y. LEE, O.D. INC

Practice address

8716 Cord Ave
Pico Rivera, CA 90660-5507

Phone

(562) 948-2799

Fax

(562) 375-6676

NPI assigned

Sep 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ernest Yen Lee, O.D.NPI 1942221593

Title

President

Phone

(562) 948-2799

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ernest Yen Lee, O.D.

  • Optometrist
  • Pico Rivera, CA
  • NPI 1942221593
  Medicare reassignment NPD Authorized official
• Rita Gutierrez, O.D.

  • Optometrist
  • Pico Rivera, CA
  • NPI 1407983000
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1447355573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8716 CORD AVE",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906605507",
            "telephone_number": "562-948-2799",
            "fax_number": "562-375-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8716 CORD AVE",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906605507",
            "telephone_number": "562-948-2799",
            "fax_number": "562-375-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERNEST Y. LEE, O.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "YEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-948-2799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11910T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0011910",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Pico Rivera, CA
• Providers in Pico Rivera, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.