Katherine P. Lee, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT002039 Issued in GA

Practice address

3148 Kings Arms CT NE
Atlanta, GA 30345-2153

Phone

(770) 908-8491

Fax

(770) 237-0944

NPI assigned

Sep 13, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Optometry

Education

Pacific University - College of Optometry, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clarity Vision Group LLCGroup PAC ID 5799083846, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Clarity Vision Group, LLC

  • Optometrist
  • Cumming, GA
  • NPI 1578924700
  Medicare reassignment Care Compare group NPD
• Absolute Eyecare LLC

  • Primary Care Clinic/Center
  • Cumming, GA
  • NPI 1386694164
  NPD (past)

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221091200000",
    "number": "1831184035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3148 KINGS ARMS CT NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452153",
            "telephone_number": "770-908-8491",
            "fax_number": "770-237-0944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3148 KINGS ARMS CT NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452153",
            "telephone_number": "770-908-8491",
            "fax_number": "770-237-0944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KATHERINE",
        "middle_name": "P.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-13",
        "last_updated": "2008-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP ID NUMBER",
            "identifier": "GRP936",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000957613A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan John Santos Lee
• Josephine Y. Lee, ATC
• Joshua Lee
• Joyce T Lee, DDS, MD
• Kamaria Laine Muraba Lee
• Katy Lee, MOT, OTR/L
• Lamardra Lee, DC
• Landon Barrett Lee, EDD
• Latoya Jean Lee, MD
• Leigha Lee, MD STUDENT

• Optometrist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.