Dr.Juliane Lee O.D., Professional Corporation

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

Legal business name

DR.JULIANE LEE O.D., PROFESSIONAL CORPORATION

Doing business as

Lucid Optix Optometry

Practice address

6225 S Durango Dr Ste 103
Las Vegas, NV 89113-2290

Phone

(725) 735-8030

Fax

(725) 735-8031

NPI assigned

Jul 22, 2021

Last updated

Sep 1, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Juliane Lee, CEONPI 1780890749

Title

Ceo

Phone

(562) 587-0337

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• LUCID OPTIX OPTOMETRY Doing business as
• DR.JULIANE LEE O.D.,PROFESSIONAL CORPORATION Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Juliane Lee, O.D.

  • Optometrist
  • Long Beach, CA
  • NPI 1780890749
  NPD (past) Authorized official

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1982277364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6225 S DURANGO DR STE 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132290",
            "telephone_number": "725-735-8030",
            "fax_number": "725-735-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6225 S DURANGO DR STE 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132290",
            "telephone_number": "725-735-8030",
            "fax_number": "725-735-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.JULIANE LEE O.D., PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-22",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JULIANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-587-0337",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "851824693",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LUCID OPTIX OPTOMETRY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DR.JULIANE LEE O.D.,PROFESSIONAL CORPORATION",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Corneal and Contact Management Optometrist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Corneal and Contact Management Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.