Active NPI
Maggi Lee, OD
- Optometrist
- Redding, CA
National Provider Identifier
1497030555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 15209 TLG
- Practice address
- 555 E Cypress Ave
Redding, CA 96002-0105 - Phone
- (530) 722-9992
- Fax
- (530) 722-9997
- NPI assigned
- Oct 19, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 15209 TLG | CA | Primary |
| Optometrist | 152W00000X | 3593 ATI | OR |
Addresses
Primary practice location
555 E Cypress Ave
Redding, CA 96002-0105
Mailing address
555 E Cypress Ave
Redding, CA 96002-0105
Phone (530) 722-9992
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15209 TLG | CA | MD | Optometrist |
| 3593 ATI | OR | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lee Optometry, Inc. | Optometrist | Current | Accepting new patients |
Locations
555 E Cypress Ave
Redding, CA 96002
Phone (530) 722-9992
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.
-
- Optometrist
- Redding, CA
- NPI 1073102471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450224000000",
"number": "1497030555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 E CYPRESS AVE",
"city": "REDDING",
"state": "CA",
"postal_code": "960020105",
"telephone_number": "530-722-9992",
"fax_number": "530-722-9997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 E CYPRESS AVE",
"city": "REDDING",
"state": "CA",
"postal_code": "960020105",
"telephone_number": "530-722-9992",
"fax_number": "530-722-9997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "MAGGI",
"name_prefix": "Miss",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-19",
"last_updated": "2015-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "15209 TLG",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OR",
"license": "3593 ATI",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.