Kwang J Lee MD Professional Corporation

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

6811 Issued in NV

Legal business name

KWANG J LEE MD PROFESSIONAL CORPORATION

Practice address

6980 Smoke Ranch Rd
Ste 110
Las Vegas, NV 89128-8605

Phone

(702) 732-4500

Fax

(702) 818-1393

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kwang J Lee, MD

Title

Owner Physician

Phone

(702) 732-4500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Nevada Retina Center Doing business as

Locations

Practitioners 2

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

• Tyson S.J. Ward, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Las Vegas, NV
  • NPI 1578791372
  NPD (past)
• Chris Yang Wu, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Las Vegas, NV
  • NPI 1265829345
  NPD (past)

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339545600000",
    "number": "1700927001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6980 SMOKE RANCH RD",
            "address_2": "STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891288605",
            "telephone_number": "702-732-4500",
            "fax_number": "702-818-1393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6980 SMOKE RANCH RD",
            "address_2": "STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891288605",
            "telephone_number": "702-732-4500",
            "fax_number": "702-818-1393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KWANG J LEE MD PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2012-06-13",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KWANG",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "702-732-4500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NV",
            "license": "6811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002019317",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nevada Retina Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Osmond Kwan
• Shirley Kwan
• Stephanie Kwan, PHARMD
• Tina W Kwan, MD
• Tracy Ya-Yin Kwan, LCSW
• Mara Kwasnik
• Leslie Michelle Kwasny, M.S., CCC-SLP
• Kwee P.C.
• Manuel Leano Kwek, APN
• Joanne Kwesell

• Ophthalmology Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Ophthalmology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.