Active NPI
Anita Lymon Owyang Lee, O.D.
- Optometrist
- Brea, CA
National Provider Identifier
1780811281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 13655 TLG
- Practice address
- 100 Brea Mall
Sears Optometry
Brea, CA 92821-5717 - Phone
- (714) 990-4353
- Fax
- (714) 256-9218
- NPI assigned
- Jun 11, 2009
- Last updated
- Aug 30, 2014
- Sex
- Female
- Sole proprietor
- No
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 | 13655 TLG | CA | Primary |
Addresses
Primary practice location
100 Brea Mall
Sears Optometry
Brea, CA 92821-5717
Mailing address
615 Sepulveda PL
Placentia, CA 92870-4292
Phone (510) 206-9510
Other names 1
- Miss Anita Lymon Owyang
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150225001978 | CA | Practitioner - Optometry | 5890011407 | Practice locations: Brea, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13655 TLG | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luxottica of America Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Anaheim, CA
- NPI 1225749096
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409356800000",
"number": "1780811281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 SEPULVEDA PL",
"city": "PLACENTIA",
"state": "CA",
"postal_code": "928704292",
"telephone_number": "510-206-9510",
"fax_number": "714-256-9218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 BREA MALL",
"address_2": "SEARS OPTOMETRY",
"city": "BREA",
"state": "CA",
"postal_code": "928215717",
"telephone_number": "714-990-4353",
"fax_number": "714-256-9218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "ANITA",
"middle_name": "LYMON OWYANG",
"name_prefix": "Mrs.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-11",
"last_updated": "2014-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "13655 TLG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANITA",
"last_name": "OWYANG",
"middle_name": "LYMON",
"prefix": "MISS",
"credential": "O.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Brea, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.