Active NPI
Dr. Sandra Lee Optometrist Inc.
- Optometrist
- San Francisco, CA
National Provider Identifier
1992903314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 8528T
- Legal business name
- DR. SANDRA LEE OPTOMETRIST INC.
- Practice address
- 2007 Irving St
San Francisco, CA 94122-1715 - Phone
- (415) 564-1818
- NPI assigned
- Jul 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sandra Lee, O.D.
- Title
- President
- Phone
- (415) 564-1818
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 8528T | CA | Primary |
Addresses
Primary practice location
2007 Irving St
San Francisco, CA 94122-1715
Mailing address
2007 Irving St
San Francisco, CA 94122-1715
Phone (415) 564-1818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0085280 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
2007 Irving St
San Francisco, CA 94122
Phone (415) 564-1818
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- San Francisco, CA
- NPI 1992999569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183680000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1247184000000",
"number": "1992903314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2007 IRVING ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941221715",
"telephone_number": "415-564-1818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2007 IRVING ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941221715",
"telephone_number": "415-564-1818"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. SANDRA LEE OPTOMETRIST INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-06",
"last_updated": "2009-07-10",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "SANDRA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "415-564-1818",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "CA",
"license": "8528T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0085280",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
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- Jennifer Bezjak Drake, LAC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.