Organization Active NPI

John C Lee MD SC

  • Eyewear Supplier
  • Decatur, IL
National Provider Identifier
1932379849
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
JOHN C LEE MD SC
Practice address
1714 S Blaine LN
Decatur, IL 62521-5025
Phone
(217) 423-9000
Fax
(217) 423-9002
NPI assigned
Mar 6, 2008
Last updated
Mar 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Authorized official

Name
Dr. John C Lee, M.D.NPI 1013072990
Title
Physician
Phone
(217) 423-9000

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
Eyewear Supplier 332H00000X IL Primary

Addresses

Primary practice location

1714 S Blaine LN
Decatur, IL 62521-5025

Mailing address

1714 S Blaine LN
Decatur, IL 62521-5025
Phone (217) 423-9000

National Provider Directory

National Provider Directory

Locations

1714 S Blaine Ln
Decatur, IL 62521
Phone (217) 423-9000

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": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1932379849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 S BLAINE LN",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625215025",
            "telephone_number": "217-423-9000",
            "fax_number": "217-423-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 S BLAINE LN",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625215025",
            "telephone_number": "217-423-9000",
            "fax_number": "217-423-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C LEE MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "217-423-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.