Organization Active NPI

James R Lee MD

  • Ophthalmology Physician
  • Winthrop, MA
National Provider Identifier
1750503355
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
31859 Issued in MA
Legal business name
JAMES R LEE MD
Practice address
52 Crest Avenue
Winthrop, MA 02152
Phone
(617) 846-7950
Fax
(617) 846-0290
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
James R Lee, MD
Title
Owner
Phone
(617) 846-7950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 31859 MA Primary

Addresses

Primary practice location

52 Crest Avenue
Winthrop, MA 02152

Mailing address

52 Crest Avenue
Winthrop, MA 02152
Phone (617) 846-7950

Other identifiers 1

IdentifierTypeStateIssuer
M13177OtherMABLUE CROSS

National Provider Directory

National Provider Directory

Locations

44 Washington St
#103A
Brookline, MA 02445
Phone (617) 232-9600

52 Crest Ave
Ste 2
Winthrop, MA 02152
Phone (617) 846-7950

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750503355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 CREST AVENUE",
            "city": "WINTHROP",
            "state": "MA",
            "postal_code": "02152",
            "telephone_number": "617-846-7950",
            "fax_number": "617-846-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 CREST AVENUE",
            "city": "WINTHROP",
            "state": "MA",
            "postal_code": "02152",
            "telephone_number": "617-846-7950",
            "fax_number": "617-846-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES R LEE MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-846-7950",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "31859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "M13177",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winthrop, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.