Organization Active NPI

Lee Vision Associates LLC

  • Ophthalmology Physician
  • Cherry Hill, NJ
National Provider Identifier
1821603838
Registry record updated Oct 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
LEE VISION ASSOCIATES LLC
Practice address
220 Lake Dr E Ste 105
Cherry Hill, NJ 08002-1165
Phone
(856) 809-4200
Fax
(856) 306-5231
NPI assigned
Sep 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2020

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

Authorized official

Name
Stephen Y Lee, MDNPI 1346213907
Title
Owner
Phone
(610) 812-4539

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

220 Lake Dr E Ste 105
Cherry Hill, NJ 08002-1165

Mailing address

PO Box 825493
Philadelphia, PA 19182-5493
Phone (856) 809-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20201210000936 NJ Part B Supplier - Clinic/Group Practice 7012329337 Receives reassigned benefits from 1 practitioner
Practice locations: Cherry Hill, NJ
O20210420001341 PA Part B Supplier - Clinic/Group Practice 7012329337 Receives reassigned benefits from 1 practitioner
Practice locations: Bala Cynwyd, PA

National Provider Directory

National Provider Directory

Locations

220 Lake Dr E
Ste 105
Cherry Hill, NJ 08002
Phone (856) 667-1681

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602374400000",
    "number": "1821603838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 825493",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191825493",
            "telephone_number": "856-809-4200",
            "fax_number": "856-306-5231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 LAKE DR E STE 105",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080021165",
            "telephone_number": "856-809-4200",
            "fax_number": "856-306-5231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE VISION ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-15",
        "last_updated": "2020-10-11",
        "certification_date": "2020-10-11",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-812-4539",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.