DERRON TIMOTHY LEE (NPI# 1144313552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144313552 |
| Entity Type | Individual |
| Full Name | DERRON TIMOTHY LEE |
| Credential | O.D. |
| Practice Address |
158 N Maple Ave Manteca CA 95336-4503 |
| Mailing Address |
2433 Broadridge Way Stockton CA 95209-1246 |
| Practice Telephone | 2092393504 |
| Practice Fax Number | 2092390741 |
| Mailing Telephone | 2094773888 |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2016-07-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 12387T | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MESC | 11620 | 01 |
| CA | EYEMED | CA2387 | 01 |
| Street Address |
158 N MAPLE AVE |
| City | MANTECA |
| State | CA |
| Zip Code | 95336-4503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588911820 | Hanh Judy Ngoc Nguyen | Optometrist | 158 N Maple Ave, Manteca, CA 95336 | 2012-08-06 |
| 1548339112 | Manteca Optometry | Optometrist | 158 N Maple Ave, Manteca, CA 95336-4503 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225687676 | Kasside Sahagun-escalante | Behavior Technician | 402 Victory Ave, Manteca, CA 95336 | 2019-09-09 |
| 1295253797 | Adriana Pena | Counselor | 129 E.center Street Ste.3, Manteca, CA 95336 | 2017-09-05 |
| 1104352277 | Native Directions Inc. | Substance Abuse Rehabilitation Facility | 13505 Union Rd, Manteca, CA 95336 | 2017-05-10 |
| 1437508389 | Anna Gavin | Contractor | 1256 W. Lathrop Rd #376, Manteca, CA 95336 | 2016-06-10 |
| 1164826137 | Michael M. Catz, M.d., Inc | Anesthesiology | 1205 E. North Street, Manteca, CA 95336 | 2014-10-20 |
| 1033518923 | Leanne Louis | Community Health Worker | 129 E Center Street, #3, Manteca, CA 95336 | 2014-08-18 |
| 1255684122 | Kenneth S. Ching, Md., Inc | Anesthesiology | 1205 East North Street, Manteca, CA 95336 | 2012-10-17 |
| 1629323043 | Harpradeep Ratia | Dentist | 1332 E Yosemite Ave, Manteca, CA 95336 | 2012-07-23 |
| 1750643664 | Shelley Marie Kohl | Specialist/Technologist, Other | 425 E. Center St Suite 1, Manteca, CA 95336 | 2012-06-15 |
| 1932488038 | Valerie Diane Segura | Behavioral Analyst | 1882 Cherrywood Pl, Manteca, CA 95336 | 2011-08-08 |
| Find all providers in zip 95336 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952604357 | Vivian Yen Diep | Optometrist | 302 Northgate Dr, Manteca, CA 95336 | 2010-12-08 |
| 1730263120 | Michael Lavieri | Optometrist | 903 W Center St Ste 9, Manteca, CA 95337-7315 | 2006-10-24 |
| 1043282262 | Gregory Lee Miller | Optometrist | 138 N Grant Ave, Manteca, CA 95336-4601 | 2006-02-02 |
| 1457346330 | Frederick William Stellhorn | Optometrist | 140 N Fremont St, Suite A, Manteca, CA 95336-4725 | 2005-09-15 |
| 1588911820 | Hanh Judy Ngoc Nguyen | Optometrist | 158 N Maple Ave, Manteca, CA 95336 | 2012-08-06 |
| 1922251156 | Harder Optometry | Optometrist | 1079 Eucalyptus St, Suite B, Manteca, CA 95337-4317 | 2008-10-31 |
| 1548418023 | Henry Hoai Truong | Optometrist | 140 N Fremont St, Ste # 1, Manteca, CA 95336-4729 | 2008-09-08 |
| 1063692259 | Firstsight Vision Services, Inc. | Optometrist | 1205 S Main St, Manteca, CA 95337-5748 | 2007-11-06 |
| 1992834725 | Khanh Quoc Dao | Optometrist | 1205 S Main St, Manteca, CA 95337-5748 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183428 | Ashley Park | Optometrist | 386 S Green Valley Rd Ste 2, Watsonville, CA 95076-3007 | 2020-10-30 |
| 1053911842 | Michael Guerret | Optometrist | 4130 N Viking Way # 110, Long Beach, CA 90808-1402 | 2020-10-29 |
| 1912506155 | Minati Desai Acharya, O.d., Optometric Corporation | Optometrist | 117 Pelton Center Way, San Leandro, CA 94577-4815 | 2020-10-20 |
| 1740888627 | Jennifer Ngo | Optometrist | 3217 W 153rd St, Gardena, CA 90249-4011 | 2020-10-13 |
| 1649878521 | Jennie Lin | Optometrist | 12914 Cranleigh St, Cerritos, CA 90703-7245 | 2020-10-13 |
| 1962009464 | Jyoti Patel | Optometrist | 1701 Gaffey St., San Pedro, CA 90731 | 2020-10-07 |
| 1114524196 | Kenneth E. Sweeney, O.d., Inc. | Optometrist | 825 Pollard Rd Ste 208, Los Gatos, CA 95032-1435 | 2020-10-03 |
| 1316544364 | Chelsey Kimiko Honma | Optometrist | 3151 Airway Ave Ste M3, Costa Mesa, CA 92626-4626 | 2020-10-02 |
| 1437766920 | Mary Mekhael | Optometrist | 5901 Center Dr Apt 456, Los Angeles, CA 90045-8969 | 2020-09-28 |
| 1013524677 | Jennifer Dang, O.d., A Professional Corporation | Optometrist | 301 S Western Ave Ste 103, Los Angeles, CA 90020-3816 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.