Sally Lee, MD, DO

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

20A80880 Issued in CA

Practice address

5965 Severin Dr.
La Mesa, CA 91942-3428

Phone

(619) 583-4295

Fax

(619) 825-7300

NPI assigned

Aug 24, 2006

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 2

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

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

• San Diego Eye Professionals

  • Ophthalmology Physician
  • La Mesa, CA
  • NPI 1861120511
  NPD

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1457468514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5965 SEVERIN DR.",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423428",
            "telephone_number": "619-583-4295",
            "fax_number": "619-825-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5965 SEVERIN DR.",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423428",
            "telephone_number": "619-583-4295",
            "fax_number": "619-825-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SALLY",
        "name_prefix": "Dr.",
        "credential": "MD, DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "20A80880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX8088",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI BUSINESS",
            "identifier": "1285859900",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denise Rae Lee, LMFT
• Jessica K Lee, PHARM.D.
• Kia Lee, MSN, ANP-BC
• Kimberly Donghee Lee, NP-C
• Patricia Yuang Lee, CPNP
• Legacy Senior Living
• Kristen Legerton
• David William Lehman, M.D.
• Emily Lehn, RD
• Paula Leibham, NP

• Ophthalmology Physician in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.