Individual provider Active NPI

Suzanne Yookyung Lee, M.D.

  • Ophthalmology Physician
  • Munster, IN
National Provider Identifier
1891884078
Registry record updated Jan 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
01034128 Issued in IN
Practice address
759 45TH Ave
Suite 101
Munster, IN 46321-2938
Phone
(219) 922-6226
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 01034128 IN Primary

Addresses

Primary practice location

759 45TH Ave
Suite 101
Munster, IN 46321-2938

Mailing address

759 45TH Ave
Suite 101
Munster, IN 46321-2938
Phone (219) 922-6226

Other identifiers 2

IdentifierTypeStateIssuer
100212660 AMedicaidIN
000000086700OtherINANTHEM

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

LicenseStateTypeSpecialty
01034128INMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ocampo Medical Centers, LLC. Past Accepting new patients
Munster Eye Care Associates, P.C. Ophthalmology Past Accepting new patients
Munster Eye Care Associates, P.C. Ophthalmology PastSince Jul 20, 1992 Accepting new patients
Suzanne Y Lee MD PC Ophthalmology PastSince Feb 28, 1985 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420156800000",
    "number": "1891884078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "759 45TH AVE",
            "address_2": "SUITE 101",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212938",
            "telephone_number": "219-922-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "759 45TH AVE",
            "address_2": "SUITE 101",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212938",
            "telephone_number": "219-922-6226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SUZANNE",
        "middle_name": "YOOKYUNG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2015-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01034128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100212660 A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000086700",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2015; 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.