Organization Active NPI

Lee's Shoes, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Dunn, NC
National Provider Identifier
1922080530
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Authorized official

Name
Mrs. Heather L Reed, CFTSNPI 1184861122
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7703585MedicaidNC

Other names 1

  • Lester E Lee Jr Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930036759 NC DME Supplier - Medical Supply Company 2062614209 Practice locations: Dunn, NC

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Lee's Shoes, Inc.203 N Wilson Ave, Dunn, NC 28334-4230(910) 892-3035 Diabetic Shoes and Inserts Accepts assignmentParticipating since Apr 7, 2006

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.