Active NPI
Lee's Shoes, Inc.
- Durable Medical Equipment & Medical Supplies
- Dunn, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- LEE'S SHOES, INC.
- Practice address
- 203B N Wilson Ave
Dunn, NC 28334-4230 - Phone
- (910) 892-3035
- Fax
- (910) 892-8945
- NPI assigned
- Nov 18, 2005
- Last updated
- Feb 27, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Heather L Reed, CFTS
- Title
- Treasurer
- Phone
- (910) 892-3035
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary |
Addresses
Primary practice location
203B N Wilson Ave
Dunn, NC 28334-4230
Mailing address
203B N Wilson Ave
Dunn, NC 28334-4230
Phone (910) 892-3035
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7703585 | Medicaid | NC |
Other names 1
- Lester E Lee Jr
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930036759 | NC | DME Supplier - Medical Supply Company | 2062614209 | Practice locations: Dunn, NC |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Lee's Shoes, Inc. | Diabetic Shoes and Inserts | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
203 N Wilson Ave
#B
Dunn, NC 28334
Phone (910) 892-3035
203B N Wilson Ave
Dunn, NC 28334
Phone (910) 892-3035
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthotic Fitter
- Dunn, NC
- NPI 1184861122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708992000000",
"number": "1922080530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203B N WILSON AVE",
"city": "DUNN",
"state": "NC",
"postal_code": "283344230",
"telephone_number": "910-892-3035",
"fax_number": "910-892-8945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203B N WILSON AVE",
"city": "DUNN",
"state": "NC",
"postal_code": "283344230",
"telephone_number": "910-892-3035",
"fax_number": "910-892-8945"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEE'S SHOES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-18",
"last_updated": "2024-02-27",
"certification_date": "2024-02-27",
"status": "A",
"authorized_official_last_name": "REED",
"authorized_official_first_name": "HEATHER",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "910-892-3035",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CFTS"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7703585",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lester E Lee Jr",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Dunn, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.