Individual provider Active NPI

Jennifer Lee, OD

  • Optometrist
  • Jersey City, NJ
National Provider Identifier
1548740517
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5576 Issued in FL
Practice address
20 Mall Dr E FL 2
Jersey City, NJ 07310-1602
Phone
(714) 403-6571
NPI assigned
Aug 18, 2018
Last updated
Apr 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC5576 FL Primary

Addresses

Primary practice location

20 Mall Dr E FL 2
Jersey City, NJ 07310-1602

Mailing address

346 Walnut St
Nutley, NJ 07110-1817
Phone (714) 403-6571

Other identifiers 1

IdentifierTypeStateIssuer
OPC5576OtherFLNON-MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20250807000851 NJ Practitioner - Optometry 7911398631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paul Naftali O D P aGroup PAC ID 6800968942, 4 clinicians

Practice addresses (Care Compare)

311 Main St
Madison, NJ 07940-2338
Phone (973) 377-1060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC5576FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Paul Naftali O D P a CurrentSince Jul 1, 2025 Accepting new patients
Clarity Icare Optometry LLC Optometrist Current Accepting new patients
Antoine Copty OD PC PastSince Dec 1, 2021 Accepting new patients
Agg Optical Inc. Optometrist PastSince Jul 1, 2025 Accepting new patients

Locations

20 Mall Dr E
Fl 2
Jersey City, NJ 07310
Phone (201) 216-0672

311 Main St
Madison, NJ 07940
Phone (973) 363-3210

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1534550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1548740517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 WALNUT ST",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071101817",
            "telephone_number": "714-403-6571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MALL DR E FL 2",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073101602",
            "telephone_number": "714-403-6571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-18",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NON-MEDICARE",
            "identifier": "OPC5576",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.