Jennifer Lee, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

15348 Issued in CA

Practice address

1701 Lundy Ave
Ste 120
San Jose, CA 95131-1832

Phone

(408) 453-9988

NPI assigned

Jul 29, 2015

Last updated

Jul 29, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Southern California College of Optometry, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fremont Optometric GroupGroup PAC ID 9638118342, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fremont Optometric Group

  • Optometrist
  • Fremont, CA
  • NPI 1619991080
  Medicare reassignment Care Compare group NPD
• First Optometric Care of Northern California PC

  • Optometrist
  • Rancho Cordova, CA
  • NPI 1154972404
  NPD
• First Optometric Care of Northern California PC

  dba East Hills Vision Care Optometry

  • Optometrist
  • San Jose, CA
  • NPI 1487537452
  NPD
• First Optometric Care of Northern California PC

  dba University Optometry

  • Optometrist
  • Palo Alto, CA
  • NPI 1760077325
  NPD

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438128000000",
    "number": "1841675048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 LUNDY AVE",
            "address_2": "STE 120",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951311832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 LUNDY AVE",
            "address_2": "STE 120",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951311832",
            "telephone_number": "408-453-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanette Lee, O.D.
• Jee Y Lee
• Jeffery Lee, DDS
• Jennie Wanda Lee, DDS
• Jennifer Lee, M.D.
• Jennifer Eun Lee, MD
• Jennifer H Lee
• Jennifer Tran Lee, DMD
• Jennifer Yah-Rong Lee, PSY.D.
• Jenny Jonghae Lee

• Optometrist in San Jose, CA
• Providers in San Jose, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.