Cheng-Hong Johnson Lee, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT10361TPL Issued in CA

Practice address

18371 Pioneer Blvd
Artesia, CA 90701-5532

Phone

(562) 865-4190

Fax

(562) 865-3280

NPI assigned

Aug 19, 2005

Reactivated

Apr 6, 2006

Last updated

Oct 26, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Dynasty Optometric Center, Inc.

  • Optometrist
  • Artesia, CA
  • NPI 1801070032
  Authorized official Same address or phone

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288051200000",
    "number": "1558353029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18371 PIONEER BLVD",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907015532",
            "telephone_number": "562-865-4190",
            "fax_number": "562-865-3280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18371 PIONEER BLVD",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907015532",
            "telephone_number": "562-865-4190",
            "fax_number": "562-865-3280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "CHENG-HONG",
        "middle_name": "JOHNSON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2010-10-26",
        "deactivation_date": "2006-03-25",
        "reactivation_date": "2006-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT10361TPL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• La Metropolitan Home Health, Incorporated
• Harry Hung Le, DDS
• Lee and Kim Dental Corporation (smile dental)
• Angela Lee
• Anita T Lee, D.D.S.
• Esther Park Lee, PHARMD
• Jansen T Lee, DDS
• Jennifer Lee, PHARMD
• Kowen Lee
• Kuo Fong Lee, D.D.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.