Active NPI
Alexander C Lee, MD
- Ophthalmology Physician
- San Jose, CA
National Provider Identifier
1497834147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- A87178
- 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.
-
- Public Health or Welfare Agency
- San Mateo, CA
- NPI 1306907928
-
- Multi-Specialty Clinic/Center
- San Mateo, CA
- NPI 1841369592
-
- General Acute Care Hospital
- Mountain View, CA
- NPI 1093712374
-
- Ophthalmology Physician
- Santa Clara, CA
- NPI 1083617302
Ophthalmology
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
Practice addresses (Care Compare)
3239 Stevens Creek Blvd
San Jose, CA 95117-1145
Phone (408) 502-6188
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| A87178 | CA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of San Mateo | Current | Accepting new patients | |
| County of San Mateo | Current | Accepting new patients | |
| County of San Mateo | Current | 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
- alee7367@icare.elcaminohospital.org
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | A87178 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A871780 | Medicaid | CA |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.