Individual provider Active NPI

Juliane Lee, O.D.

  • Optometrist
  • Long Beach, CA
National Provider Identifier
1780890749
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12165T Issued in CA
Practice address
2572 Atlantic Ave
Long Beach, CA 90806
Phone
(562) 424-0931
NPI assigned
May 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 12165T CA Primary

Addresses

Primary practice location

2572 Atlantic Ave
Long Beach, CA 90806

Mailing address

100 E California Blvd
Pasadena, CA 91105-3205
Phone (800) 898-2020

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140626002608 CA Practitioner - Optometry 0143445551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

100 E California Blvd
Pasadena, CA 91105-3205

510 N Pealr St
Macomb, IL 61455-3159

71956 Magnesia Falls Dr
Rancho Mirage, CA 92270-4901

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12165TCAMDOptometrist
12165CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Trilogy Eye Medical Group Inc Optometrist CurrentSince May 1, 2014 Accepting new patients
Dr.J Lee, Optometrist , a Professional Corporation Optometrist CurrentSince Mar 1, 2023 Accepting new patients
Juliane Lee,O.D.,a Professional Corporation Optometrist CurrentSince Jun 9, 2020 Accepting new patients
J Lee,O.D a Professional Corporation Optometrist Current Accepting new patients
Dr.Juliane Lee O.D., Professional Corporation Past Accepting new patients
Sharp Coronado Hospital and Healthcare Center Past Accepting new patients

Locations

19071 Bear Valley Rd
Ste 3
Apple Valley, CA 92308
Phone (760) 452-3990

5100 Orangethorpe Ave
Ste B
La Palma, CA 90623
Phone (562) 246-9399

3816 Woodruff Ave
Ste 100
Long Beach, CA 90808
Phone (562) 424-0931

2572 Atlantic Ave
Long Beach, CA 90806
Phone (562) 424-0931

100 E California Blvd
Pasadena, CA 91105
Phone (626) 568-8838

207 S Santa Anita St
Ste P25
San Gabriel, CA 91776
Phone (626) 200-1277

14309 Bear Valley Rd
Ste B
Victorville, CA 92392
Phone (760) 989-7180

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1780890749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E CALIFORNIA BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053205",
            "telephone_number": "800-898-2020",
            "fax_number": "626-577-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2572 ATLANTIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90806",
            "telephone_number": "562-424-0931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JULIANE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12165T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.