Jay Lee

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618001147 Issued in VA

Practice address

8386 Sudley Rd
Manassas, VA 20109-3428

Phone

(703) 368-5557

Fax

(703) 368-6522

NPI assigned

Mar 29, 2006

Sex

Male

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 VA

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

Ohio State University - College of Optometry, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Dr. Jay J. Lee & Associates

  • Optometrist
  • Manassas, VA
  • NPI 1518140896
  NPD Authorized official
• Dr. Stephanie M. Lee & Associates

  • Optometrist
  • Manassas, VA
  • NPI 1467789123
  NPD (past)

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318896000000",
    "number": "1669433686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14270 HOLLY GLEN CT",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201127011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8386 SUDLEY RD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201093428",
            "telephone_number": "703-368-5557",
            "fax_number": "703-368-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JAY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2011-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda R Ledbetter, ANP-BC
• Alexander Charles Lee, PA-C
• Bayley Lee, LPC
• Gerald K Lee, M.D., PHD
• Grace E Lee, APRN, MSN, PMHNP
• Jennifer Marie Lee, MS, CCC-SLP
• Johanna-Marie Jaboneta Lee, LPC
• Justus Lee
• Lyndsey Atherton Lee
• Mea Young Lee, O.D.

• Optometrist in Manassas, VA
• Providers in Manassas, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; 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.