Organization Active NPI

Dr. Judith Lee Optometry, Inc

  • Optometrist
  • Ontario, CA
National Provider Identifier
1629591128
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
15098TLG Issued in CA
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

Updated by the provider on Mar 25, 2026

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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": []
}

Other providers in Ontario, CA

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.

Verify at the official NPI Registry.