Alice Lee, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

15064 Issued in CA

Practice address

417 S San Gabriel Blvd Ste B
San Gabriel, CA 91776-1968

Phone

(626) 291-2020

NPI assigned

Sep 25, 2014

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

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

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 and National Provider Directory roles.

• William Chang OD, Inc

  • Optometrist
  • San Gabriel, CA
  • NPI 1255669057
  Medicare reassignment NPD
• Total Vision PC

  • Optometrist
  • San Diego, CA
  • NPI 1356813711
  NPD

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

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1992107551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 S SAN GABRIEL BLVD STE B",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761968",
            "telephone_number": "626-291-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 S SAN GABRIEL BLVD STE B",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761968",
            "telephone_number": "626-291-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ALICE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-25",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dan Le, D.O.
• Mai Le
• Yijun Le
• Denise Ledesma
• Aiah Shyanne Lee, PHARMD
• Allen Hsiu-Jen Lee, D.D.S.
• Angelin Lee, NP
• Chen-CHI Lee, PA
• David S Lee, D.D.S.
• Hao-Fu Lee, DDS, MS

• Optometrist in San Gabriel, CA
• Providers in San Gabriel, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.