Jenee S Lee OD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

13397T Issued in CA

Legal business name

JENEE S LEE OD INC

Practice address

4637 Pine Valley Cir
Stockton, CA 95219-1876

Phone

(209) 479-9811

NPI assigned

Aug 12, 2008

Last updated

Aug 12, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jenee S Lee, ODNPI 1295929370

Title

Optometrist

Phone

(209) 479-9811

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jenee Suzanne Lee, O.D.

  • Optometrist
  • Corona, CA
  • NPI 1295929370
  Authorized official Same address or phone

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1497901284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 E HAMMER LN",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952104119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4637 PINE VALLEY CIR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952191876",
            "telephone_number": "209-479-9811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENEE S LEE OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-12",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JENEE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "209-479-9811",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13397T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Ryan Bennett (El Dorado Drug Store)
• S Star Jeffries
• Quinn Jeghers-Elam
• Edward Thomas Jellen, PT
• Peter Enojaine Jemerigbe, MSCE, PE, PMP
• April C Jenkins
• Danielle Jenkins
• Katie Jenkins, SUDRC 14739
• Jennifer J. Williams, M.D., Inc.
• Dejana Grace Jenning

• Optometrist in Stockton, CA
• Providers in Stockton, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.