Susie Mei Fun Lee, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

12214T Issued in CA

Practice address

228 E 3Rd Ave
San Mateo, CA 94401-4015

Phone

(650) 343-0549

Fax

(650) 343-1653

NPI assigned

Jan 8, 2007

Last updated

Mar 29, 2012By the provider in NPPES

Sex

Female

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Nicholas T Chan, OD

  • Optometrist
  • San Mateo, CA
  • NPI 1407870074
  Medicare reassignment

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332979200000",
    "number": "1932257037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 E 3RD AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944014015",
            "telephone_number": "650-343-0549",
            "fax_number": "650-343-1653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 E 3RD AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944014015",
            "telephone_number": "650-343-0549",
            "fax_number": "650-343-1653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SUSIE",
        "middle_name": "MEI FUN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2012-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12214T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Lee, NP
• Nicole Nakyung Lee, MD
• Peter PO Nung Lee, M.D
• Shannon Ling Lee, MOT, OTR/L
• Sheila Lee
• Tiffany Insley Lee, RN
• Yunnie Lee, M.D.
• Tayler Leftridge
• Maxine Legaspi
• Sandra Teper Lehman, RN,MS

• Optometrist in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.