Individual provider Active NPI

Grant Lee, M.D.

  • Ophthalmology Physician
  • Los Angeles, CA
National Provider Identifier
1700109501
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
NOT RECEIVED YET Issued in CA
Practice address
1100 N State St
Lac/Usc Clinic Tower- Ophthalmology
Los Angeles, CA 90033-5000
Phone
(323) 409-5220
NPI assigned
Mar 8, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NOT RECEIVED YET CA Primary

Addresses

Primary practice location

1100 N State St
Lac/Usc Clinic Tower- Ophthalmology
Los Angeles, CA 90033-5000

Mailing address

1100 N State St
Lac/Usc Clinic Tower- Ophthalmology
Los Angeles, CA 90033-5000

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120523000644 CA Practitioner - Ophthalmology 7810150174 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of California, Geffen School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18893 Colima Rd
Suite a
Rowland Heights, CA 91748-2995
Phone (626) 810-1001

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
98.86
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
NOT RECEIVED YETCAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Eye Center Ophthalmology CurrentSince Feb 1, 2013 Accepting new patients
Ahmc San Gabriel Valley Medical Ophthalmology Past Accepting new patients
Ocular Institute of California, a Medical Corporation Past Accepting new patients
Ocular Institute of California, a Medical Corporation Ophthalmology Past Accepting new patients
St Jude Hospital Inc Past Accepting new patients

Locations

2564 W Woodland Dr
Anaheim, CA 92801
Phone (626) 810-1001

18895 Colima Rd
Ste B
Rowland Hghts, CA 91748
Phone (626) 810-1001

18893 Colima Rd
Ste A
Rowland Hghts, CA 91748
Phone (213) 446-7249

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: drlee@cornerstone.direct.eyemdemr.com

Organizations & group practices 5

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": "1268006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268006400000",
    "number": "1700109501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N STATE ST",
            "address_2": "LAC/USC CLINIC TOWER- OPHTHALMOLOGY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900335000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N STATE ST",
            "address_2": "LAC/USC CLINIC TOWER- OPHTHALMOLOGY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900335000",
            "telephone_number": "323-409-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "GRANT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-08",
        "last_updated": "2010-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "NOT RECEIVED YET",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.