Kelly Lee, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

13690 Issued in CA

Practice address

2000 Market Place Dr
Monterey Park, CA 91755

Phone

(323) 890-1901

NPI assigned

Aug 1, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Kelly Truong Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528675200000",
    "number": "1578729273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 GRAYLOCK AVE",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917545512",
            "telephone_number": "510-610-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MARKET PLACE DR",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "91755",
            "telephone_number": "323-890-1901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1420 Travis Blvd",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CA",
            "postal_code": "945333401",
            "country_code": "US",
            "telephone_number": "707-425-6333",
            "fax_number": "707-428-1685",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15555 E 14th St",
            "address_purpose": "LOCATION",
            "city": "San Leandro",
            "state": "CA",
            "postal_code": "945781900",
            "country_code": "US",
            "telephone_number": "510-276-2692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-01",
        "last_updated": "2018-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010070",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "TRUONG",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Edmond Sam Lee, MD
• Gin-Horn Daniel Lee, D.P.M.
• Jaumaan Lee, M.D.
• Jerry Lee, D.C., L.AC.
• Jong Tai Lee
• Kevin Ka Yung Lee
• Kok W Lee, M.D.
• Pen Hong Lee, MD
• Ryan S.Chein Lee, D.D.S
• Stephanie Lee, LCSW

• Optometrist in Monterey Park, CA
• Providers in Monterey Park, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; 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.