Spencer Alan Lee, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT34024-TLG Issued in CA

Practice address

596 E El Camino Real Ste 2
Sunnyvale, CA 94087-8129

Phone

(408) 245-6212

NPI assigned

Aug 1, 2018

Last updated

Feb 25, 2019By the provider in NPPES

Sex

Male

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

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cindy H Tran OD a Professional Optometric CorporationGroup PAC ID 7517180375, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Cindy H. Tran, OD, a Professional Optometric Corporation

  dba Sunnyvale Optometry

  • Optometrist
  • Sunnyvale, CA
  • NPI 1730510165
  Medicare reassignment Care Compare group
• Mark S Ichikawa, OD

  dba Sunnyvale Optometry

  • Optometrist
  • Sunnyvale, CA
  • NPI 1477595007
  NPD (past)

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1902384092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 644",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945830644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 E EL CAMINO REAL STE 2",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940878129",
            "telephone_number": "408-245-6212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SPENCER",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-01",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT34024-TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Kin Lee, D.D.S.
• Ping Ping Lee, L.AC
• Richard C Lee, DDS
• Rosanna Lee, PHARMD
• Simon Kyejoo Lee, D.C.
• Stephen T Lee, DPT
• Su-May Lee, MD
• Wade W Lee, D.D.S.
• Wing CHI Wong Lee, PHARM.D.
• Yeun Hwa Sharon Lee, OD

• Optometrist in Sunnyvale, CA
• Providers in Sunnyvale, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; 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.