Individual provider Active NPI

Chieh-Li Lee, O.D.

  • Optometrist
  • West Covina, CA
National Provider Identifier
1477862803
Registry record updated Jan 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14083 Issued in CA
Practice address
1200 S Sunset Ave
Ste. 1
West Covina, CA 91790-3903
Phone
(626) 962-2839
NPI assigned
Oct 4, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14083 CA Primary

Addresses

Primary practice location

1200 S Sunset Ave
Ste. 1
West Covina, CA 91790-3903

Mailing address

1200 S Sunset Ave
Ste. 1
West Covina, CA 91790-3903

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150416001949 CA Practitioner - Optometry 4385962661 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14083CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Supervision Optometry Inc Optometrist CurrentSince Feb 5, 2015 Accepting new patients

Locations

8150 Garvey Ave
Ste 103A
Rosemead, CA 91770
Phone (626) 288-8759

1200 S Sunset Ave
Ste 1
West Covina, CA 91790
Phone (626) 962-2839

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358553600000",
    "number": "1477862803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S SUNSET AVE",
            "address_2": "STE. 1",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S SUNSET AVE",
            "address_2": "STE. 1",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903903",
            "telephone_number": "626-962-2839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "CHIEH-LI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-04",
        "last_updated": "2013-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

Verify at the official NPI Registry.