Active NPI
Mi Rim Lee, OD
- Optometrist
- Fuquay Varina, NC
National Provider Identifier
1942948849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2817
- Practice address
- 505 N Judd Pkwy NE
Fuquay Varina, NC 27526-2388 - Phone
- (919) 557-0308
- Fax
- (919) 557-3818
- NPI assigned
- May 22, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2817 | NC | Primary |
Addresses
Primary practice location
505 N Judd Pkwy NE
Fuquay Varina, NC 27526-2388
Mailing address
505 N Judd Pkwy NE
Fuquay Varina, NC 27526-2388
Phone (919) 557-0308
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2817 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743465600000",
"number": "1942948849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 N JUDD PKWY NE",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275262388",
"telephone_number": "919-557-0308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 N JUDD PKWY NE",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275262388",
"telephone_number": "919-557-0308",
"fax_number": "919-557-3818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "MI",
"middle_name": "RIM",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-22",
"last_updated": "2025-04-01",
"certification_date": "2025-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "2817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fuquay Varina, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.