John C. Lee, M.D., S.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036052344 Issued in IL

Legal business name

JOHN C. LEE, M.D., S.C.

Practice address

1714 S Blaine LN
Decatur, IL 62521-5025

Phone

(217) 423-9000

Fax

(217) 423-9002

NPI assigned

Jul 16, 2008

Organization subpart

No

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

Authorized official

Name

Dr. John C Lee, M.D.

Title

Physician

Phone

(217) 423-9000

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1780848978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 S BLAINE LN",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625215025",
            "telephone_number": "217-423-9000",
            "fax_number": "217-423-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 S BLAINE LN",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625215025",
            "telephone_number": "217-423-9000",
            "fax_number": "217-423-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C. LEE, M.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "217-423-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036052344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0005800230",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036052344",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joanna Tedford (Angels Homecare Agency)
• Joe Jac Corp. (Spring Creek Terrace)
• Cathy Johansen, L.P.N.
• John C Lee MD SC
• John C. Kefalas, M.D.,S.C. (Central Illinois Bone and Joint Center)
• John Herington, PC (John Herington LCSW)
• John R Wasem DC PC
• John W. Newlin, M.D., LLC
• David Martin Johnson, MD
• Jessica Marie Johnson, O.D.

• Ophthalmology Physician in Decatur, IL
• Providers in Decatur, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.