Individual provider Active NPI

Ernest Yen Lee, O.D.

  • Optometrist
  • Pico Rivera, CA
National Provider Identifier
1942221593
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11910T Issued in CA
Practice address
8716 Cord Ave
Pico Rivera, CA 90660-5507
Phone
(562) 948-2799
Fax
(562) 375-6676
NPI assigned
Jul 21, 2006
Last updated
Aug 28, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11910T CA Primary

Addresses

Primary practice location

8716 Cord Ave
Pico Rivera, CA 90660-5507

Mailing address

8716 Cord Ave
Pico Rivera, CA 90660-5507
Phone (562) 948-2799

Other identifiers 1

IdentifierTypeStateIssuer
SD0011910MedicaidCA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20061019000371 CA Practitioner - Optometry 5395741003 Reassigns benefits to 1 organization
Practice locations: Pico Rivera, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11910TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ernest Y. Lee, O.D. Inc Optometrist CurrentSince Jul 8, 2024 Accepting new patients

Locations

5072 Rosemead Blvd
Pico Rivera, CA 90660
Phone (562) 948-2799

8716 Cord Ave
Pico Rivera, CA 90660
Phone (562) 948-2799

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1942221593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8716 CORD AVE",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906605507",
            "telephone_number": "562-948-2799",
            "fax_number": "562-375-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8716 CORD AVE",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906605507",
            "telephone_number": "562-948-2799",
            "fax_number": "562-375-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ERNEST",
        "middle_name": "YEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11910T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0011910",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pico Rivera, CA

Sources for this page

Verify at the official NPI Registry.