Active NPI
Loren Lee, OD
- Corneal and Contact Management Optometrist
- Arcadia, CA
National Provider Identifier
1659354686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- 7713
- Practice address
- 619 S. First Avenue
Arcadia, CA 91006-6691 - Phone
- (626) 447-8116
- NPI assigned
- Nov 23, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | 7713 | CA | Primary |
Addresses
Primary practice location
619 S. First Avenue
Arcadia, CA 91006-6691
Mailing address
619 S 1St Ave
Arcadia, CA 91006-3834
Phone (626) 447-8116
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD07713T0 | Other | CA | BLUE SHIELD |
| SD0077130 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7713 | CA | MD | Corneal and Contact Management Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292544000000",
"number": "1659354686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "619 S 1ST AVE",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910063834",
"telephone_number": "626-447-8116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 S. FIRST AVENUE",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910066691",
"telephone_number": "626-447-8116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "LOREN",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-23",
"last_updated": "2010-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "CA",
"license": "7713",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "SD07713T0",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0077130",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arcadia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.