Active NPI
Yuwen Lee, O.D., Optometric Professional Corporation
- Optometrist
- Visalia, CA
National Provider Identifier
1477090066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 11912T
- Legal business name
- YUWEN LEE, O.D., OPTOMETRIC PROFESSIONAL CORPORATION
- Practice address
- 503 S Watson St
Visalia, CA 93277-2641 - Phone
- (559) 625-2882
- NPI assigned
- Jan 21, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yuwen Lee, O.D.
- Title
- Optometrist
- Phone
- (559) 625-2882
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 11912T | CA | Primary |
Addresses
Primary practice location
503 S Watson St
Visalia, CA 93277-2641
Mailing address
503 S Watson St
Visalia, CA 93277-2641
Phone (559) 625-2882
Other names 1
- YUWEN O D Optometric Professional Corporation
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3501 S Mooney Blvd
Visalia, CA 93277
Phone (559) 635-4200
503 S Watson St
Visalia, CA 93277
Phone (559) 623-9636
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Visalia, CA
- NPI 1285829861
-
- Family Nurse Practitioner
- Visalia, CA
- NPI 1205518438
-
- Nephrology Physician
- Visalia, CA
- NPI 1548346695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1578528000000",
"number": "1477090066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 S WATSON ST",
"city": "VISALIA",
"state": "CA",
"postal_code": "932772641",
"telephone_number": "559-625-2882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 S WATSON ST",
"city": "VISALIA",
"state": "CA",
"postal_code": "932772641",
"telephone_number": "559-625-2882"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YUWEN LEE, O.D., OPTOMETRIC PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-21",
"last_updated": "2020-01-09",
"certification_date": "2020-01-09",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "YUWEN",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "559-625-2882",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "CA",
"license": "11912T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "YUWEN O D Optometric Professional Corporation",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; 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.