Mea Young Lee, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618000401 Issued in VA

Practice address

9405 Liberia Ave
Manassas, VA 20111

Phone

(703) 257-9676

Fax

(703) 257-9699

NPI assigned

Aug 14, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Stephanie Mea-Young Lee Other name

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Dr. Jay J. Lee & Associates

  • Optometrist
  • Manassas, VA
  • NPI 1518140896
  NPD (past)

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1962415687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14270 HOLLY GLEN CT",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201127011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9405 LIBERIA AVE",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "20111",
            "telephone_number": "703-257-9676",
            "fax_number": "703-257-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MEA",
        "middle_name": "YOUNG",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "LEE",
            "middle_name": "MEA-YOUNG",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jay Lee
• Jennifer Marie Lee, MS, CCC-SLP
• Johanna-Marie Jaboneta Lee, LPC
• Justus Lee
• Lyndsey Atherton Lee
• Melinda Lee
• Samuel Sang Lee, M.D.
• Sunkyung Lee
• Valerie Holdeman Lee, P.T.
• Christopher J Leet, M.D.

• Optometrist in Manassas, VA
• Providers in Manassas, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.