Individual provider Active NPI

Sharon May Lee, OD

  • Optometrist
  • Daly City, CA
National Provider Identifier
1639886617
Registry record updated Apr 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35347 Issued in CA
Practice address
211 Eastmoor Ave
Daly City, CA 94015-2036
Phone
(415) 391-9686
NPI assigned
Oct 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35347 CA Primary

Addresses

Primary practice location

211 Eastmoor Ave
Daly City, CA 94015-2036

Mailing address

1642 25TH Ave
San Francisco, CA 94122-3303

Other practice location 1

2100 Webster St Ste 214
San Francisco, CA 94115-2375
Phone (415) 923-3007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221220001938 CA Practitioner - Optometry 9830568518 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35347CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
North East Medical Services CurrentSince Apr 1, 2024 Accepting new patients
North East Medical Services CurrentSince Apr 1, 2024 Accepting new patients
Pacific Eye Associates, a Medical Corporation Optometrist CurrentSince Oct 28, 2022 Accepting new patients
North East Medical Services Current Accepting new patients

Locations

211 Eastmoor Ave
Daly City, CA 94015
Phone (650) 550-3923

82 Leland Ave
San Francisco, CA 94134
Phone (415) 391-9688

2100 Webster St
Ste 214
San Francisco, CA 94115
Phone (415) 923-3007

1520 Stockton St
San Francisco, CA 94133

1870 Lundy Ave
San Jose, CA 95131
Phone (408) 573-9686

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712361600000",
    "number": "1639886617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1642 25TH AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941223303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 EASTMOOR AVE",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152036",
            "telephone_number": "415-391-9686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Webster St Ste 214",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941152375",
            "country_code": "US",
            "telephone_number": "415-923-3007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "SHARON",
        "middle_name": "MAY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-31",
        "last_updated": "2024-04-06",
        "certification_date": "2024-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daly City, CA

Sources for this page

Verify at the official NPI Registry.