Paul C Lee, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G77461 Issued in CA

Practice address

4160 Wilshire Blvd
2ND Floor
Los Angeles, CA 90010-3567

Phone

(323) 933-3111

Fax

(323) 933-3393

NPI assigned

Jun 14, 2007

Last updated

Mar 19, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

University of California, San Diego School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/imedicware_cep
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• California Center for Refractive Surgery a Medical Corporation

  • Ophthalmology Physician
  • Los Angeles, CA
  • NPI 1770788713
  Medicare reassignment Authorized official
• California Center for Refractive Surgery

  • Specialist
  • Los Angeles, CA
  • NPI 1356761506
  Authorized official Same address or phone
• California Cataract Center & Medical Group Inc

  • Specialist
  • Hemet, CA
  • NPI 1508815374
  NPD (past)
• California Eye Professionals Medical Group Inc

  • Ophthalmology Physician
  • Temecula, CA
  • NPI 1649285008
  NPD (past)

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1619171428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 WILSHIRE BLVD",
            "address_2": "2ND FLOOR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103567",
            "telephone_number": "323-933-3111",
            "fax_number": "323-933-3393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 WILSHIRE BLVD",
            "address_2": "2ND FLOOR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103567",
            "telephone_number": "323-933-3111",
            "fax_number": "323-933-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "PAUL",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G77461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G77461",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Lee
• Pansoon Lee, L.AC.
• Patricia Lee, OCCUPATIONAL THERAPY
• Patricia Lee
• Paul Lee, MSN, FNP-C
• Paul Hyundo Lee, FNP
• Paul Sang Lee, M.D.
• Pearl Yeawon Lee
• Pei Lim Brian Lee, M.D.
• Peiyee Lee, M.D., PH.D.

• Ophthalmology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.