Organization Active NPI

Joyce Lee OD Professional Corporation

  • Optometrist
  • San Diego, CA
National Provider Identifier
1619720471
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
JOYCE LEE OD PROFESSIONAL CORPORATION
Practice address
3245 Sports Arena Blvd
San Diego, CA 92110-4529
Phone
(619) 223-1702
NPI assigned
Apr 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Authorized official

Name
Joyce Lee, ODNPI 1669158994
Title
Optometrist
Phone
(858) 357-7068

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 Primary

Addresses

Primary practice location

3245 Sports Arena Blvd
San Diego, CA 92110-4529

Mailing address

4466 Philbrook SQ
San Diego, CA 92130-8675
Phone (858) 357-7068

National Provider Directory

National Provider Directory

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": "1712707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1619720471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4466 PHILBROOK SQ",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921308675",
            "telephone_number": "858-357-7068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3245 SPORTS ARENA BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921104529",
            "telephone_number": "619-223-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOYCE LEE OD PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "858-357-7068",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.