Chieh-Ju Lee, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

13182 Issued in CA

Practice address

1200 S Sunset Ave
Suite #1
West Covina, CA 91790-3903

Phone

(626) 962-2839

Fax

(626) 962-1819

NPI assigned

Sep 25, 2006

Last updated

Mar 6, 2008By the provider in NPPES

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

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Supervision Optometry Inc

  • Optometrist
  • West Covina, CA
  • NPI 1194998443
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1477654408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S SUNSET AVE",
            "address_2": "SUITE #1",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903903",
            "telephone_number": "626-962-2839",
            "fax_number": "626-962-1819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S SUNSET AVE",
            "address_2": "SUITE #1",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903903",
            "telephone_number": "626-962-2839",
            "fax_number": "626-962-1819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "CHIEH-JU",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "5436800",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joel Ronnie Ledezma
• Kawne Lee Johnson
• Annie Lee, RPH
• Candace Lee
• Chang Soo Lee, PHARMACIST
• Chieh-Li Lee, O.D.
• David Lee, PHARM. D
• Erika Miranda Lee
• Erin Lee
• Fanny Lee, O.D.

• Optometrist in West Covina, CA
• Providers in West Covina, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.