Alice So-Jin Lee, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

8774 Issued in CA

Practice address

14709 Prairie Ave
Lawndale, CA 90260-1831

Phone

(310) 679-1158

Fax

(424) 269-0936

NPI assigned

Oct 1, 2007

Last updated

Dec 11, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lauren H. Felipe, O.D. Inc.

  • Optometrist
  • Lawndale, CA
  • NPI 1861990418
  NPD (past)

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355184000000",
    "number": "1447447719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14709 PRAIRIE AVE",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902601831",
            "telephone_number": "310-679-1158",
            "fax_number": "424-269-0936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14709 PRAIRIE AVE",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902601831",
            "telephone_number": "310-679-1158",
            "fax_number": "424-269-0936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ALICE",
        "middle_name": "SO-JIN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-01",
        "last_updated": "2012-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0087740",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lawndale Medical Supply, Inc
• Lesley Lawrenson, M.D., PH.D.
• Jenny C Le
• Linh Vu Le, D.D.S.
• Toan Vinh Le, DMD
• Nidia Irene Leon
• James Levee
• Lili Mirtorabi, D.D.S., a Professional Corporation
• Eric Lin, D.D.S
• Anoosheh Lolachi, M.D.

• Optometrist in Lawndale, CA
• Providers in Lawndale, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.