Organization Active NPI

Jlee Optometry, LLC

  • Optometrist
  • Hillsboro, OR
National Provider Identifier
1619428737
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3542AT Issued in OR
Legal business name
JLEE OPTOMETRY, LLC
Practice address
6495 SE TV Hwy Ste C
Hillsboro, OR 97123-8273
Phone
(503) 356-5501
Fax
(503) 356-6842
NPI assigned
Oct 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Authorized official

Name
Jannie Lee, OD
Title
Optometrist
Phone
(503) 356-5501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3542AT OR Primary

Addresses

Primary practice location

6495 SE TV Hwy Ste C
Hillsboro, OR 97123-8273

Mailing address

6495 SE TV Hwy Ste C
Hillsboro, OR 97123-8273
Phone (503) 356-5501

National Provider Directory

National Provider Directory

Locations

6495 SE Tualatin Valley Hwy
Ste C
Hillsboro, OR 97129
Phone (503) 356-5501

NPI Registry JSON

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477267200000",
    "number": "1619428737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6495 SE TV HWY STE C",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971238273",
            "telephone_number": "503-356-5501",
            "fax_number": "503-356-6842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6495 SE TV HWY STE C",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971238273",
            "telephone_number": "503-356-5501",
            "fax_number": "503-356-6842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JLEE OPTOMETRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-24",
        "last_updated": "2016-10-24",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JANNIE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "503-356-5501",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3542AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; 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.