Carol H Lee, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

12603T Issued in CA

Practice address

1306 Glendale Galleria
Teagle Optometry
Glendale, CA 91210-1400

Phone

(818) 956-0873

NPI assigned

Feb 13, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Donald E. Teagle, OD

  • Optometrist
  • Glendale, CA
  • NPI 1740453935
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1750423745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 GLENDALE GALLERIA",
            "address_2": "TEAGLE OPTOMETRY",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91210",
            "telephone_number": "714-261-1367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 GLENDALE GALLERIA",
            "address_2": "TEAGLE OPTOMETRY",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912101400",
            "telephone_number": "818-956-0873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "CAROL",
        "middle_name": "H",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12603T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0126030",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leader Home Health Inc
• Jensen Leano
• Katie Lebleu, RDN
• Betty Wai-Han Lee-Villanueva, O.D.
• Anne Ya Ping Lee, PA, MSPAS, MPH
• Daniel Kuanyu Lee, M.D.
• David Hyun Lee, D.C.
• Don W Lee, M.D.
• Eric Lee, MD
• Eric Jonathan Ong Lee

• Optometrist in Glendale, CA
• Providers in Glendale, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; 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.