Myron Lee, M.D., Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A22274 Issued in CA

Legal business name

MYRON LEE, M.D., INC

Practice address

3000 Colby St
Suite 104
Berkeley, CA 94705-2083

Phone

(510) 843-4613

Fax

(510) 843-4652

NPI assigned

Aug 11, 2009

Organization subpart

No

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

Authorized official

Name

Myron Lee, M.D.

Title

President

Phone

(510) 843-4613

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304985600000",
    "number": "1639301575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 COLBY ST",
            "address_2": "SUITE 104",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052083",
            "telephone_number": "510-843-4613",
            "fax_number": "510-843-4652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 COLBY ST",
            "address_2": "SUITE 104",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052083",
            "telephone_number": "510-843-4613",
            "fax_number": "510-843-4652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYRON LEE, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-11",
        "last_updated": "2011-05-10",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MYRON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-843-4613",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A22274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A222740",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Muzaffar
• Helen Kalasa Mwanza, NP
• Moe Myat, FNP
• Linda Joy Myers, MFT
• Norma Lee Myers, LMFT
• Clarrisa Nabanoba
• Susan Nachand
• Alison J. Nachman, M.S.
• Pamela Nacion
• Nack Behavioral Health, LLC

• Ophthalmology Physician in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; 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.