Sarah Song Lee, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT003541 Issued in GA

Practice address

3625 Dallas Hwy SW Ste 615
Marietta, GA 30064-5907

Phone

(678) 820-6352

NPI assigned

Nov 17, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1457126567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 WILLOW FIELD LN SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300674008",
            "telephone_number": "678-951-4053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 DALLAS HWY SW STE 615",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300645907",
            "telephone_number": "678-820-6352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SARAH",
        "middle_name": "SONG",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Diane Lee
• Ming Howard Lee
• Page Sookhyun Lee, NP
• Paul H. Lee, PA-C
• Rhonda Kim Lee, NP-C
• Sean Poi Lee, M.D.
• Stephen Alan Lee, PHARMD
• Yurim Lee, PHARMD
• Robert Martin Leffew III, DC
• Lisa W. Lefkovits, MD

• Optometrist in Marietta, GA
• Providers in Marietta, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.