J Lee Optometry LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00613901 Issued in NJ

Legal business name

J LEE OPTOMETRY LLC

Practice address

219 Old Hook Rd
Westwood, NJ 07675-3131

Phone

(201) 664-0847

Fax

(201) 664-8890

NPI assigned

Sep 3, 2009

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Young Lee, O.D.NPI 1962694356

Title

President

Phone

(253) 861-4660

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Young Lee, O.D.

  • Optometrist
  • Westwood, NJ
  • NPI 1962694356
  Medicare reassignment NPD Authorized official
• Basel R Altahtamoni

  • Optician
  • Jersey City, NJ
  • NPI 1205013885
  NPD (past)

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

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1639302839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 OLD HOOK RD",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076753131",
            "telephone_number": "201-664-0847",
            "fax_number": "201-664-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 OLD HOOK RD",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076753131",
            "telephone_number": "201-664-0847",
            "fax_number": "201-664-8890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3513 John F Kennedy Blvd",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073074123",
            "country_code": "US",
            "telephone_number": "201-420-8162",
            "fax_number": "201-420-8163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "J LEE OPTOMETRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "YOUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-861-4660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00613901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0181234",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Robyn Ivey, BCBA
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• Jibin Jacob
• Janet Viggiano Wellness
• Jestina Jimmy, DPT
• Jie Jin, MD

• Optometrist in Westwood, NJ
• Providers in Westwood, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.