Susana M Lee, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV007020-1 Issued in NY

Practice address

2238 31St St
Astoria, NY 11105-2714

Phone

(718) 278-3600

NPI assigned

Jan 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

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

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 and National Provider Directory roles.

• Odyssey Optics LTD

  • Optometrist
  • Astoria, NY
  • NPI 1962594200
  Medicare reassignment NPD
• David E. Cohen, MD, LLC

  • Vascular Surgery Physician
  • Paramus, NJ
  • NPI 1730222761
  NPD (past)
• Dr. Alan Ross OD PA

  • Health Maintenance Organization
  • Closter, NJ
  • NPI 1386920429
  NPD (past)
• Eyecare One LLC

  • Optometrist
  • Paramus, NJ
  • NPI 1780794768
  NPD (past)
• Kessler Institute for Rehabilitation Inc

  • Rehabilitation Hospital
  • West Orange, NJ
  • NPI 1013919620
  NPD (past)
• Professional Eyecare Associates PA

  • Optometrist
  • Paramus, NJ
  • NPI 1497865463
  NPD (past)

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192838400000",
    "number": "1679543003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2238 31ST ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111052714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2238 31ST ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111052714",
            "telephone_number": "718-278-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SUSANA",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2007-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "NJ",
            "license": "27OA00593700",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007020-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02841394",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0061620",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jun Yeop Lee, MD
• Kenny Lee, PHARMACIST
• Kyung Jin Lee, DMD
• Son H Lee
• Stasha Lee, AUD
• Sarah Lefebvre
• Gina Lehr
• Jeffrey Neil Leibowitz, DDS
• Lenox Hill Urological Associates, LLP
• Lenox Hill Urological LLC

• Optometrist in Astoria, NY
• Providers in Astoria, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.