Grace Lee, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

13863 Issued in CA

Practice address

9520 Garden Grove Blvd Ste 5
Garden Grove, CA 92844-1528

Phone

(714) 530-6700

NPI assigned

Aug 6, 2010

Last updated

Nov 3, 2022By the provider in NPPES

Sex

Female

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Amy L Vo Optometry Inc

  • Optometrist
  • Garden Grove, CA
  • NPI 1477187771
  NPD
• Kauser Sharieff OD Inc.

  dba Vision Performance Optometric Center

  • Vision Therapy Optometrist
  • Yorba Linda, CA
  • NPI 1104510288
  NPD (past)

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

{
    "created_epoch": "1281052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1568776151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9520 GARDEN GROVE BLVD STE 5",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441528",
            "telephone_number": "714-530-6700",
            "fax_number": "714-530-4273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9520 GARDEN GROVE BLVD STE 5",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441528",
            "telephone_number": "714-530-6700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 City Blvd W Ste 919",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928683115",
            "country_code": "US",
            "telephone_number": "714-937-3937",
            "fax_number": "714-937-3933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-06",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Charles Lee, DDS
• Esther Lee
• Eun Jung Lee
• Eva Lee
• Francis Sangwon Lee, MD
• Jae Sung Lee
• Jae Woo Lee, L.AC.
• James Lee, M.D.
• Janice Lee, RDH
• Jasmine H Lee

• Optometrist in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.