Organization Active NPI

Sarah a. Lee P.C.

  • Optometrist
  • Burton, MI
National Provider Identifier
1700902913
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003706 Issued in MI
Legal business name
SARAH A. LEE P.C.
Practice address
4165 E Court St
Burton, MI 48509-1717
Phone
(810) 743-1276
Fax
(810) 743-2249
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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

Authorized official

Name
Sarah A Lee, ODNPI 1306835640
Title
President
Phone
(810) 743-1276

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4901003706 MI Primary

Addresses

Primary practice location

4165 E Court St
Burton, MI 48509-1717

Mailing address

4165 E Court St
Burton, MI 48509-1717
Phone (810) 743-1276

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071213000240 MI Part B Supplier - Clinic/Group Practice 2365532496 Receives reassigned benefits from 1 practitioner
Practice locations: Burton, MI

National Provider Directory

National Provider Directory

Locations

2240 E Hill Rd
Grand Blanc, MI 48439
Phone (810) 579-0202

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1700902913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4165 E COURT ST",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091717",
            "telephone_number": "810-743-1276",
            "fax_number": "810-743-2249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4165 E COURT ST",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091717",
            "telephone_number": "810-743-1276",
            "fax_number": "810-743-2249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARAH A. LEE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-743-1276",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.