Organization Active NPI

Lee Eye Surgery Clinic PA

  • Ophthalmology Physician
  • Carrollton, TX
National Provider Identifier
1528222049
Registry record updated May 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
L2406 Issued in TX
Legal business name
LEE EYE SURGERY CLINIC PA
Practice address
1948 E Hebron Pkwy Ste 200
Carrollton, TX 75007-1515
Phone
(972) 395-7131
Fax
(972) 395-7585
NPI assigned
Jul 14, 2008
Last updated
May 2, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2018

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

Authorized official

Name
Dr. Jong Hwa Lee, M.D. PHDNPI 1962464826
Title
Doctor
Phone
(972) 395-7131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X L2406 TX Primary

Addresses

Primary practice location

1948 E Hebron Pkwy Ste 200
Carrollton, TX 75007-1515

Mailing address

1948 E Hebron Pkwy Ste 200
Carrollton, TX 75007-1515
Phone (972) 395-7131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081118000715 TX Part B Supplier - Clinic/Group Practice 8729153002 Receives reassigned benefits from 2 practitioners
Practice locations: Carrollton, TX

National Provider Directory

National Provider Directory

Locations

1948 E Hebron Pkwy
Carrollton, TX 75007

1948 E Hebron Pkwy
Ste 200
Carrollton, TX 75007
Phone (972) 395-7131

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525219200000",
    "number": "1528222049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1948 E HEBRON PKWY STE 200",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750071515",
            "telephone_number": "972-395-7131",
            "fax_number": "972-395-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1948 E HEBRON PKWY STE 200",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750071515",
            "telephone_number": "972-395-7131",
            "fax_number": "972-395-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE EYE SURGERY CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-14",
        "last_updated": "2018-05-02",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JONG",
        "authorized_official_middle_name": "HWA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "972-395-7131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D. PHD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "L2406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.