Individual provider Active NPI

Tong Lee, O.D

  • Optometrist
  • Jackson Heights, NY
National Provider Identifier
1811081912
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
006735 Issued in NY
Practice address
3760 94TH St
Jackson Heights, NY 11372-7934
Phone
(718) 205-1280
Fax
(718) 205-1223
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 006735 NY Primary

Addresses

Primary practice location

3760 94TH St
Jackson Heights, NY 11372-7934

Mailing address

45 Kirkwood Dr
Glen Cove, NY 11542-1633
Phone (516) 801-4716

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006735NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Optical Choice Corp PastSince Jan 3, 2010 Accepting new patients
City Eye Optical Elmhurst, Inc Optometrist PastSince Sep 29, 2019 Accepting new patients
East West Opticians Past Accepting new patients
Optical Eye PC Optometrist PastSince Oct 24, 2006 Accepting new patients
Queens Plaza Optical Past Accepting new patients

Organizations & group practices 5

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811081912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 KIRKWOOD DR",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115421633",
            "telephone_number": "516-801-4716",
            "fax_number": "516-801-4716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3760 94TH ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727934",
            "telephone_number": "718-205-1280",
            "fax_number": "718-205-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "TONG",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "006735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.