Organization Active NPI

Lee Optometrics, Inc.

  • Optometrist
  • Palo Alto, CA
National Provider Identifier
1609924810
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9575T Issued in CA
Legal business name
LEE OPTOMETRICS, INC.
Practice address
231 Hamilton Ave
Palo Alto, CA 94301-2530
Phone
(650) 326-1649
Fax
(650) 326-1519
NPI assigned
Jan 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Adrienne Dawn Lee, O.D.NPI 1053401273
Title
President
Phone
(650) 326-1649

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 9575T CA Primary

Addresses

Primary practice location

231 Hamilton Ave
Palo Alto, CA 94301-2530

Mailing address

231 Hamilton Ave
Palo Alto, CA 94301-2530
Phone (650) 326-1649

Other identifiers 2

IdentifierTypeStateIssuer
9575TOtherCAOPTOMETRIC LICENSE
2928497OtherCACORPORATION NUMBER

National Provider Directory

National Provider Directory

Locations

231 Hamilton Ave
Palo Alto, CA 94301
Phone (650) 326-1649

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609924810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 HAMILTON AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012530",
            "telephone_number": "650-326-1649",
            "fax_number": "650-326-1519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 HAMILTON AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012530",
            "telephone_number": "650-326-1649",
            "fax_number": "650-326-1519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE OPTOMETRICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-326-1649",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9575T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRIC LICENSE",
            "identifier": "9575T",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATION NUMBER",
            "identifier": "2928497",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.