Terry J Lee MD PS

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD00025687 Issued in WA

Legal business name

TERRY J LEE MD PS

Practice address

231 SE Barrington Dr
Suite 208
Oak Harbor, WA 98277-3200

Phone

(360) 240-2020

Fax

(360) 240-1989

NPI assigned

Jan 12, 2010

Organization subpart

No

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

Authorized official

Name

Terry J Lee, MD

Title

Owner

Phone

(360) 240-2020

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1263254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263254400000",
    "number": "1851621940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 SE BARRINGTON DR",
            "address_2": "SUITE 208",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982773200",
            "telephone_number": "360-240-2020",
            "fax_number": "360-240-1989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 SE BARRINGTON DR",
            "address_2": "SUITE 208",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982773200",
            "telephone_number": "360-240-2020",
            "fax_number": "360-240-1989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY J LEE MD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-12",
        "last_updated": "2010-01-12",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-240-2020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD00025687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1100148",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Oak Harbor, WA
• Providers in Oak Harbor, WA by specialty
• Ophthalmology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2010; 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.