Leanne Lee, O.D.

Primary specialty

Pediatric OptometristTaxonomy code 152WP0200X

License

12388T Issued in CA

Practice address

2321 W March LN
Ste a
Stockton, CA 95207-5261

Phone

(209) 957-8000

Fax

(209) 957-8077

NPI assigned

Sep 22, 2006

Last updated

Jul 26, 2016By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Manteca Optometry

  • Pediatric Optometrist
  • Manteca, CA
  • NPI 1548339112
  Authorized official Same address or phone

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469491200000",
    "number": "1982704979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2433 BROADRIDGE WAY",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952091246",
            "telephone_number": "209-477-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 W MARCH LN",
            "address_2": "STE A",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075261",
            "telephone_number": "209-957-8000",
            "fax_number": "209-957-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "LEANNE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2016-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "CA",
            "license": "12388T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordyn Lee
• Jou Lee
• Kevin Lee, DDS
• Kristine M Lee, O.D.
• Kyujung Lee
• Mai Lue Lee
• Mai Sue Lee
• Meng-Chen Lee, NP
• Nanjoo Lee, DDS
• On-Tat Lee, M.D.

• Pediatric Optometrist in Stockton, CA
• Providers in Stockton, CA by specialty
• Pediatric Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; 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.