Individual provider Active NPI

John Hyup Lee, OD

  • Optometrist
  • Abington, PA
National Provider Identifier
1609849223
Registry record updated Jun 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000524 Issued in PA
Practice address
947 Old York Rd Ste 1
Abington, PA 19001-4611
Phone
(215) 935-6908
Fax
(215) 935-6387
NPI assigned
Feb 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000524 PA Primary
Corneal and Contact Management Optometrist 152WC0802X OEG000524 PA
Pediatric Optometrist 152WP0200X OEG000524 PA
Occupational Vision Optometrist 152WX0102X OEG000524 PA

Addresses

Primary practice location

947 Old York Rd Ste 1
Abington, PA 19001-4611

Mailing address

947 Old York Rd Ste 1
Abington, PA 19001-4611
Phone (215) 935-6908

Other identifiers 4

IdentifierTypeStateIssuer
367529OtherPAHIGHMARK BLUE SHIELD GROU
2017197OtherPAAETNA - GROUP NUMBER
5914492OtherPAAETNA - INDIVIDUAL
785692OtherPAHIGHMARK BLUE SHIELD INDI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20041110000188 PA Practitioner - Optometry 5991768004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

947 Old York Rd
Abington, PA 19001-4611

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG000524PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
J H Lee OD & Associates PC Optometrist CurrentSince Sep 1, 1998 Accepting new patients

Locations

947 Old York Rd
Ste 1
Abington, PA 19001
Phone (215) 935-6908

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402531200000",
    "number": "1609849223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "947 OLD YORK RD STE 1",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190014611",
            "telephone_number": "215-935-6908",
            "fax_number": "215-935-6387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "947 OLD YORK RD STE 1",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190014611",
            "telephone_number": "215-935-6908",
            "fax_number": "215-935-6387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JOHN",
        "middle_name": "HYUP",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2014-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000524",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "PA",
            "license": "OEG000524",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "PA",
            "license": "OEG000524",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "PA",
            "license": "OEG000524",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD GROU",
            "identifier": "367529",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA - GROUP NUMBER",
            "identifier": "2017197",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA - INDIVIDUAL",
            "identifier": "5914492",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD INDI",
            "identifier": "785692",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abington, PA

Sources for this page

Verify at the official NPI Registry.