Traci May Lee, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD3918 Issued in WA

Practice address

901 S Grady Way
Renton, WA 98055-3226

Phone

(425) 793-7946

Fax

(425) 793-9662

NPI assigned

Nov 15, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Optometry

Education

Southern California College of Optometry, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Professional Provider Enterprise LLCGroup PAC ID 0840458667, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Professional Provider Enterprise LLC

  • Optometrist
  • Omaha, NE
  • NPI 1770852196

  WA

  Medicare reassignment Care Compare group NPD
• Aeg Washington Professional PC

  • Optometrist
  • Bellevue, WA
  • NPI 1134835176
  Medicare reassignment NPD
• Kirkland Eye Clinic, P.S.

  dba Bothell Vision Center

  • Optometrist
  • Woodinville, WA
  • NPI 1972643526
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649342262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 48TH AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981181831",
            "telephone_number": "206-723-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 S GRADY WAY",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980553226",
            "telephone_number": "425-793-7946",
            "fax_number": "425-793-9662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "TRACI",
        "middle_name": "MAY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD3918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tak Kwong Derek Lee, RPH
• Thomas Sungman Lee, PHARMD
• Tiffany Lee
• Tom Lee, DDS
• Toy Gee Lee, MD
• Brianne N Lefferts, PT
• Corazon Fabian Legaspi
• Shauna Austin Leggett, PHARMD
• Jessica Michelle Leith, MS INTERN
• Nathan Lennert, PT, DPT

• Optometrist in Renton, WA
• Providers in Renton, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.