Kerri Davidove Lee, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT7786TPA Issued in CA

Practice address

8447 Laurel Canyon Blvd
Sun Valley, CA 91352

Phone

(818) 504-2020

Fax

(818) 504-2070

NPI assigned

Jan 9, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fyidoctors of California, Inc.

  • Optometrist
  • Roseville, CA
  • NPI 1437718418
  Medicare reassignment NPD
• Brent P. Chinn, OD and David M. Redman, OD, Optometric Group, Inc

  • Optometrist
  • Mountain View, CA
  • NPI 1538497540
  NPD (past)
• North Lake Eyecare Optometry

  • Optometrist
  • Tahoe City, CA
  • NPI 1447580360
  NPD (past)

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528117413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8447 LAUREL CANYON BLVD",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "91352",
            "telephone_number": "818-504-2020",
            "fax_number": "818-504-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8447 LAUREL CANYON BLVD",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "91352",
            "telephone_number": "818-504-2020",
            "fax_number": "818-504-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KERRI",
        "middle_name": "DAVIDOVE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT7786TPA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fidel M Lara Jr., M.D.
• Laurel Canyon Dialysis, LLC
• Laurel Canyon Medical Equipment, Inc.
• Shaema Lynn Lavoie
• Eunjoo Lee, FNP & L.AC
• Natalya Antoinette Lee
• Reginald Lee
• Anthony Legore, RN
• Zinovy N Lekht, M.D
• Elena Lepe

• Optometrist in Sun Valley, CA
• Providers in Sun Valley, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.