Kristen Ann Lee, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

13040T Issued in CA

Practice address

21739 Avalon Blvd
Carson, CA 90745-3302

Phone

(310) 513-6900

Fax

(310) 513-1445

NPI assigned

Aug 5, 2006

Last updated

Mar 3, 2022By the provider in NPPES

Sex

Female

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 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

Specialty

Optometry

Education

Southern College of Optometry, 2006

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Kristen Lee OD, a Professional Corporation

  • Optometrist
  • Carson, CA
  • NPI 1023315447
  Medicare reassignment NPD Authorized official
• Gary a Lee O.D. Inc.

  • Corneal and Contact Management Optometrist
  • El Monte, CA
  • NPI 1578625307
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1972512127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21739 AVALON BLVD",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907453302",
            "telephone_number": "310-513-6900",
            "fax_number": "310-513-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21739 AVALON BLVD",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907453302",
            "telephone_number": "310-513-6900",
            "fax_number": "310-513-1445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11930 Garvey Ave",
            "address_purpose": "LOCATION",
            "city": "El Monte",
            "state": "CA",
            "postal_code": "917323514",
            "country_code": "US",
            "telephone_number": "626-448-3149",
            "fax_number": "626-443-4056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "KRISTEN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13040T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Christina Laycook
• Diem Linh Thuy Le, RPH
• Barbara Lee, MD
• Harrison Lee, D.O.
• Ji Eun Lee, M.D.
• Melanie N Lee
• Rebecca Lee, PHARM.D.
• Sharon Hyang Ki Lee, DDS
• Woong Lee, DDS
• Jilian Flores Legaspi, OTR/L

• Optometrist in Carson, CA
• Providers in Carson, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; 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.