Active NPI
William P Lee, O.D.
- Optometrist
- Millington, TN
National Provider Identifier
1700822046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 678
- Practice address
- 7773 Church St
Millington, TN 38053-2431 - Phone
- (901) 872-3937
- Fax
- (901) 872-3945
- NPI assigned
- Jun 22, 2006
- Last updated
- Sep 18, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 678 | TN | Primary |
Addresses
Primary practice location
7773 Church St
Millington, TN 38053-2431
Mailing address
7773 Church St
Millington, TN 38053-2431
Phone (901) 872-3937
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 |
|---|---|---|---|
| 678 | TN | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253232000000",
"number": "1700822046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7773 CHURCH ST",
"city": "MILLINGTON",
"state": "TN",
"postal_code": "380532431",
"telephone_number": "901-872-3937",
"fax_number": "901-872-3945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7773 CHURCH ST",
"city": "MILLINGTON",
"state": "TN",
"postal_code": "380532431",
"telephone_number": "901-872-3937",
"fax_number": "901-872-3945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "WILLIAM",
"middle_name": "P",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2009-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "678",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Millington, TN
- Danielle Michelle Lagoski, M.D.
- Brandy R Laman, PHARMD
- Sheketa Lane, PA-C
- Leader Physical Therapy Limited Partnership (Memphis Physical Therapy)
- Leader Physical Therapy Limited Partnership (Memphis Physical Therapy)
- Regina S Lindsey, M.D.
- Paul Livernois, RPH
- Ayishia Keveta Lowe
- William R Ludden, DMD
- James R Luedtke, INDEPENDENT DUTY HM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.