Eun Sang Lee, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00694700 Issued in NJ

Practice address

300 Route 202 Ste 4
Raritan, NJ 08869-1352

Phone

(908) 809-7306

NPI assigned

Jul 7, 2020

Last updated

Jul 7, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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 NJ

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

Specialty

Optometry

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Contact Lens and Vision Consultants, P.aGroup PAC ID 2466416094, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Contact Lens and Vision Consultants, P.a

  • Optometrist
  • Woodbridge, NJ
  • NPI 1568674497
  Medicare reassignment Care Compare group NPD
• National Vision Inc

  dba America's Best

  • Optometrist
  • Raritan, NJ
  • NPI 1083231971
  NPD

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

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1952929903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 ROUTE 202 STE 4",
            "city": "RARITAN",
            "state": "NJ",
            "postal_code": "088691352",
            "telephone_number": "908-809-7306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 ROUTE 202 STE 4",
            "city": "RARITAN",
            "state": "NJ",
            "postal_code": "088691352",
            "telephone_number": "908-809-7306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "EUN",
        "middle_name": "SANG",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-07",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00694700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tobie Fixler Kramer, LCSW
• Warren M Kraus, MD
• Rajesh Kumari, RD
• Laboratory Corporation of America Holdings
• Patricia Rose Lambo, MSW LCSW
• Ashleigh Lemaire, MD
• Linda Wang Family Medical Care LLC
• Jessica Ludolph
• Katie-Ann L Magnuson, LPC
• Kathleen Tewey Mahoney, CPNP-PC

• Optometrist in Raritan, NJ
• Providers in Raritan, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.