Organization Active NPI

Dr. Sandra Lee Optometrist Inc.

  • Optometrist
  • San Francisco, CA
National Provider Identifier
1992903314
Registry record updated Jul 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8528T Issued in CA
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

Updated by the provider on Jul 10, 2009

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
SD0085280MedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

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": []
}

Other providers in San Francisco, CA

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.

Verify at the official NPI Registry.