Individual provider Active NPI

Laimeng Lee

  • Optometrist
  • Pacifica, CA
National Provider Identifier
1508257247
Registry record updated Feb 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
15118TLG Issued in CA
Practice address
1335 Linda Mar Shopping Ctr
Pacifica, CA 94044-3341
Phone
(650) 738-2205
NPI assigned
Feb 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 15118TLG CA Primary

Addresses

Primary practice location

1335 Linda Mar Shopping Ctr
Pacifica, CA 94044-3341

Mailing address

1335 Linda Mar Shopping Ctr
Pacifica, CA 94044-3341

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150924000218 CA Practitioner - Optometry 8224345210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jennifer Quirante, Professional Optometry CorpGroup PAC ID 8921069097, 2 clinicians

Practice addresses (Care Compare)

769 Hickey Blvd
Pacifica, CA 94044-1214
Phone (650) 738-2205

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15118TLGCAMDOptometrist

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.

NPI Registry JSON

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

{
    "created_epoch": "1424131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424131200000",
    "number": "1508257247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 LINDA MAR SHOPPING CTR",
            "city": "PACIFICA",
            "state": "CA",
            "postal_code": "940443341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 LINDA MAR SHOPPING CTR",
            "city": "PACIFICA",
            "state": "CA",
            "postal_code": "940443341",
            "telephone_number": "650-738-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "LAIMENG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-17",
        "last_updated": "2015-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15118TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pacifica, CA

Sources for this page

Verify at the official NPI Registry.