Active NPI
Suzanne P. Lee, O.D.
- Optometrist
- San Diego, CA
National Provider Identifier
1881720522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9288T
- Practice address
- 11944 Bernardo Plaza Dr
San Diego, CA 92128-2538 - Phone
- (858) 451-1250
- Fax
- (858) 451-1338
- NPI assigned
- Feb 26, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 9288T | CA | Primary |
Addresses
Primary practice location
11944 Bernardo Plaza Dr
San Diego, CA 92128-2538
Mailing address
11944 Bernardo Plaza Dr
San Diego, CA 92128-2538
Phone (858) 451-1250
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9288T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Lee & Lee Optometric Professional Corp. | Optometrist | Current | Accepting new patients |
| Dr. Lee & Lee Optometric Professional Corp. | Optometrist | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Optometrist
- San Diego, CA
- NPI 1386471993
-
- Optometrist
- San Diego, CA
- NPI 1932070430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881720522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11944 BERNARDO PLAZA DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921282538",
"telephone_number": "858-451-1250",
"fax_number": "858-451-1338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11944 BERNARDO PLAZA DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921282538",
"telephone_number": "858-451-1250",
"fax_number": "858-451-1338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SUZANNE",
"middle_name": "P.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "9288T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.