Active NPI
King Y Lee, M.D.
- Ophthalmology Physician
- Shawnee Mission, KS
National Provider Identifier
1871505891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 0417607
- Practice address
- 8901 W 74TH St
Ste 385
Shawnee Mission, KS 66204-2204 - Phone
- (913) 362-7800
- Fax
- (913) 362-7899
- NPI assigned
- Aug 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 0417607 | KS | Primary |
Addresses
Primary practice location
8901 W 74TH St
Ste 385
Shawnee Mission, KS 66204-2204
Mailing address
8901 W 74TH St
Ste 385
Shawnee Mission, KS 66204-2204
Phone (913) 362-7800
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 584751 | Other | KS | BCBS OF KANSAS |
| 100000280B | Medicaid | KS | |
| 02986196 | Other | KS | BCBS OF KANSAS CITY |
| 0001034 | Other | KS | MEDICARE PTAN |
| 180015258 | Other | KS | RAILROAD MEDICARE |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0417607 | KS | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363046400000",
"number": "1871505891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8901 W 74TH ST",
"address_2": "STE 385",
"city": "SHAWNEE MISSION",
"state": "KS",
"postal_code": "662042204",
"telephone_number": "913-362-7800",
"fax_number": "913-362-7899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8901 W 74TH ST",
"address_2": "STE 385",
"city": "SHAWNEE MISSION",
"state": "KS",
"postal_code": "662042204",
"telephone_number": "913-362-7800",
"fax_number": "913-362-7899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "KING",
"middle_name": "Y",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-12",
"last_updated": "2013-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "KS",
"license": "0417607",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF KANSAS",
"identifier": "584751",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100000280B",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF KANSAS CITY",
"identifier": "02986196",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "0001034",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "180015258",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shawnee Mission, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.