Active NPI
Dr. Judith Lee Optometry, Inc
- Optometrist
- Ontario, CA
National Provider Identifier
1629591128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 15098TLG
- Legal business name
- DR. JUDITH LEE OPTOMETRY, INC
- Practice address
- 4200 E 4TH St
Ontario, CA 91764-5250 - Phone
- (909) 285-3108
- NPI assigned
- Jul 17, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Judith Lee, OD
- Title
- Optometrist
- Phone
- (626) 278-9659
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 15098TLG | CA | Primary |
Addresses
Primary practice location
4200 E 4TH St
Ontario, CA 91764-5250
Mailing address
4200 E 4TH St
Ontario, CA 91764-5250
Phone (909) 285-3108
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774396800000",
"number": "1629591128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 E 4TH ST",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917645250",
"telephone_number": "909-285-3108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 E 4TH ST",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917645250",
"telephone_number": "909-285-3108"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. JUDITH LEE OPTOMETRY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-17",
"last_updated": "2026-03-25",
"certification_date": "2026-03-25",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "JUDITH",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "626-278-9659",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "CA",
"license": "15098TLG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.