NPIMap

Individual provider Active NPI

Soon T Lee, M.D.

  • Ophthalmology Physician
  • Oakland, CA
National Provider Identifier
1952394553
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A443122 Issued in CA
Practice address
3300 Telegraph Ave
Oakland, CA 94609-3028
Phone
(510) 444-1600
Fax
(510) 444-5117
NPI assigned
Aug 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A443122 CA Primary

Addresses

Primary practice location

3300 Telegraph Ave
Oakland, CA 94609-3028

Mailing address

3300 Telegraph Ave
Oakland, CA 94609-3028
Phone (510) 444-1600

Other identifiers 1

IdentifierTypeStateIssuer
00A443120MedicaidCA

Other names 1

  • Scott S. Lee Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080125000289 CA Practitioner - Ophthalmology 2668428848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Bay Retina Consultants a Medical Group IncGroup PAC ID 8224084405, 6 clinicians

Practice addresses (Care Compare)

1401 Willow Pass Rd
Suite 120
Concord, CA 94520-7966
Phone (925) 680-1600

3300 Telegraph Ave
Oakland, CA 94609-3028
Phone (510) 444-1600

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
94.7
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A443122CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Ramon Regional Medical Center, LLC Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Children'S Hospital & Research Center at Oakland Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
John Muir Health Past Accepting new patients
Washington Township Hospital District Past Accepting new patients
John Muir Health Past Accepting new patients
Alta Bates Summit Medical Center Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: slee161419@hisp.ehr.sutterhealth.org
  • Direct secure messaging: slee@eastbayretina.intellechartdirect.net

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447718400000",
    "number": "1952394553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 TELEGRAPH AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093028",
            "telephone_number": "510-444-1600",
            "fax_number": "510-444-5117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 TELEGRAPH AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093028",
            "telephone_number": "510-444-1600",
            "fax_number": "510-444-5117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SOON",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2015-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A443122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A443120",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SCOTT",
            "last_name": "LEE",
            "middle_name": "S.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.