NPIMap

Organization Active NPI

John J Lee, O.D.

  • Optometrist
  • Kingston, MA
National Provider Identifier
1487818019
Registry record updated Jul 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4502 Issued in MA
Legal business name
JOHN J LEE, O.D.
Practice address
101 Independence Mall Way # C104
Kingston, MA 02364-3048
Phone
(781) 585-1668
Fax
(781) 582-3872
NPI assigned
Jul 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2008

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

Authorized official

Name
John J Lee, OD
Title
Owner
Phone
(781) 585-1668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4502 MA Primary

Addresses

Primary practice location

101 Independence Mall Way # C104
Kingston, MA 02364-3048

Mailing address

101 Independence Mall Way # C104
Kingston, MA 02364-3048
Phone (781) 585-1668

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1215907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215907200000",
    "number": "1487818019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 INDEPENDENCE MALL WAY # C104",
            "city": "KINGSTON",
            "state": "MA",
            "postal_code": "023643048",
            "telephone_number": "781-585-1668",
            "fax_number": "781-582-3872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 INDEPENDENCE MALL WAY # C104",
            "city": "KINGSTON",
            "state": "MA",
            "postal_code": "023643048",
            "telephone_number": "781-585-1668",
            "fax_number": "781-582-3872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN J LEE, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-13",
        "last_updated": "2008-07-13",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-585-1668",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.