Matthew Lee

Primary specialty

OptometristTaxonomy code 152W00000X

License

34915 Issued in CA

Practice address

34420 Fremont Blvd Ste E
Fremont, CA 94555-3323

Phone

(510) 796-9600

NPI assigned

Aug 22, 2021

Sex

Male

Sole proprietor

Yes

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

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

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.

• East Bay Vision Center Optometry Inc

  • Optometrist
  • Oakland, CA
  • NPI 1396779344
  Medicare reassignment NPD
• East Bay Vision Center Optometry Inc

  • Optometrist
  • Oakland, CA
  • NPI 1699814848
  NPD

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

{
    "created_epoch": "1629590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629590400000",
    "number": "1467128173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33733 TRAILSIDE WAY",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945874369",
            "telephone_number": "510-386-6863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34420 FREMONT BLVD STE E",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945553323",
            "telephone_number": "510-796-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MATTHEW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-22",
        "last_updated": "2021-08-22",
        "certification_date": "2021-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Lee
• Kam Wan Lee, DDS
• Kwok Ching Lee, DC
• Louise F. Lee, O.D.
• Marissa Lee, MFT
• Matthew Warren Lee, DPT
• Nancy Lee, MS, CCC-SLP
• Olivia Lee
• Paula X. Lee, MD
• Philbert Manuel Lee, DOCTOR OF CHIROPRACT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2021; 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.