Individual provider Active NPI

Alexander C Lee, MD

  • Ophthalmology Physician
  • San Jose, CA
National Provider Identifier
1497834147
Registry record updated May 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A87178 Issued in CA
Practice address
3239 Stevens Creek Blvd
San Jose, CA 95117-1145
Phone
(858) 361-0538
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 8

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.

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of California, San Diego School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alexander C Lee MD a Medical Corporation 2 clinicians

Practice addresses (Care Compare)

3239 Stevens Creek Blvd
San Jose, CA 95117-1145
Phone (408) 502-6188

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20040824001309 CA Practitioner - Ophthalmology 2961476999 Reassigns benefits to 4 organizations
Practice locations: Santa Clara, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A87178CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of San Mateo Current Accepting new patients
County of San Mateo CurrentSince Aug 1, 2017 Accepting new patients
County of San Mateo CurrentSince Aug 1, 2017 Accepting new patients
County of San Mateo Current Accepting new patients
El Camino Hospital Past Accepting new patients
Studio Optics Optometric Group, Inc. Ophthalmology Past Accepting new patients

Locations

222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222

Interoperability endpoints

  • Direct secure messaging: alee7367@icare.elcaminohospital.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A87178 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

3239 Stevens Creek Blvd
San Jose, CA 95117-1145

Mailing address

706 N Genevieve LN
San Jose, CA 95128-1348
Phone (408) 818-0730

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
00A871780MedicaidCA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 20, 2016.

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463702400000",
    "number": "1497834147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 N GENEVIEVE LN",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281348",
            "telephone_number": "408-818-0730",
            "fax_number": "844-352-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3239 STEVENS CREEK BLVD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171145",
            "telephone_number": "858-361-0538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ALEXANDER",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2016-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A87178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A871780",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.