DR. JOHN T LEE (NPI# 1407859853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407859853 |
| Entity Type | Individual |
| Full Name | DR. JOHN T LEE |
| Credential | OD |
| Practice Address |
5118 Park Ave Ste 101 Memphis TN 38117-5710 |
| Practice Telephone | 9016834529 |
| Practice Fax Number | 9017674404 |
| Mailing Telephone | 9016834529 |
| Mailing Fax Number | 9017674404 |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2008-03-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
OD396 | TN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | MEDICARE RAILROAD | 410009154 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982169850 | John Lee | Acupuncturist | 14 E Homestead Ave, Palisades Park, NJ 07650-1533 | 2019-02-05 |
| 1942716303 | John Korea Lee | Pharmacist | 4100 W. 3rd Street, Attn: Pharmacy Call Center 408pcc, Dayton, OH 45428 | 2017-12-21 |
| 1710409446 | John Hans Lee | Dentist | 23707 Highland Valley Rd, Diamond Bar, CA 91765-1167 | 2017-07-14 |
| 1750820700 | John Carlton Lee | Speech-Language Pathologist | 1261 N Laurel Ave Apt 3, West Hollywood, CA 90046-5131 | 2017-02-22 |
| 1154879401 | John Dongyeop Lee | Acupuncturist | 11 E 36th St Ste 901, New York, NY 10016-3368 | 2016-09-15 |
| 1881042596 | John H. Lee | Occupational Therapy Assistant | 1900 Hillsmere, Staunton, VA 24401 | 2016-06-03 |
| 1982071577 | John Jonghyun Lee | Physical Therapist | 2 River Street Ext Apt 10, Little Ferry, NJ 07643-1112 | 2015-08-31 |
| 1134511165 | John David Lee | Physical Therapy Assistant | 1552 Mariner Ct, Lakeland, FL 33803-4284 | 2015-02-27 |
| 1508261264 | John Keunhee Lee | Dentist | 3300 E 1st Ave Ste 580, Denver, CO 80206-5818 | 2014-10-23 |
| 1932549607 | John Jaewoo Lee | Dentist | 7599 Garth Rd Ste 800, Baytown, TX 77521-7720 | 2013-06-26 |
| Street Address |
5118 PARK AVE STE 101 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38117-5710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235587957 | Megan Brack | Occupational Therapist | 5118 Park Ave, Ste 610, Memphis, TN 38117-5720 | 2016-06-03 |
| 1811380702 | Memphis Hand Center, Inc | Occupational Therapist | 5118 Park Ave, Ste 610, Memphis, TN 38117 | 2015-03-17 |
| 1083019434 | Stephanie Labrador Chin | Occupational Therapist | 5118 Park Ave, Ste 610, Memphis, TN 38117-5720 | 2014-10-28 |
| 1114334414 | David Parker Gregory | Occupational Therapist | 5118 Park Ave, Ste 610, Memphis, TN 38117-5720 | 2014-07-18 |
| 1841633146 | Melissa Sitton Faires | Occupational Therapist | 5118 Park Ave, Ste 610, Memphis, TN 38117-5720 | 2013-04-17 |
| 1396188678 | Kalen Davis | Social Worker | 5118 Park Ave, Suite 500, Memphis, TN 38117-5720 | 2013-04-16 |
| 1497023345 | Ariane P Arnold | Counselor | 5118 Park Ave, Suite 500, Memphis, TN 38117-5720 | 2011-12-07 |
| 1811264823 | Elizabeth Shelton Hayes | Social Worker | 5118 Park Ave, Suite 500, Memphis, TN 38117-5720 | 2011-11-18 |
| 1467729681 | Candace Grove | Social Worker | 5118 Park Ave, Suite 500, Memphis, TN 38117-5720 | 2011-11-17 |
| 1326315474 | Kimberly King Cimbalo | Social Worker | 5118 Park Ave, Suite 500, Memphis, TN 38117-5720 | 2011-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154980639 | Zup Medical Services, LLC | Clinic/Center | 4576 Poplar Avenue, Memphis, TN 38117 | 2019-06-10 |
| 1104386028 | Faith Christie Leigh Roby | Counselor | 4646 Poplar Ave Ste 510, Memphis, TN 38117 | 2019-03-25 |
| 1023511300 | Genita Lashonda Johnson-hammond | Specialist | 4565 Quince Rd, 1b, Memphis, TN 38117 | 2018-03-14 |
| 1023547494 | Rivka R Braverman | Licensed Practical Nurse | 5050 Sanderlin Avenue, Memphis, TN 38117 | 2017-06-08 |
| 1285002451 | Shauna Lomax | Physical Therapy Assistant | 258 Leonora Dr, Memphis, TN 38117 | 2015-09-04 |
| 1255735569 | Caring Hearts of The Mid South | In Home Supportive Care | 4646 Poplar, Suite 213b, Memphis, TN 38117 | 2014-10-15 |
| 1063821296 | Tomasz A Charowski | Dentist | 670 Colonial Rd Ste 3, Memphis, TN 38117 | 2014-08-13 |
| 1255760385 | Tennessee Dental Professionals PC | Dentist | 370 Colonial Road, 3, Memphis, TN 38117 | 2013-11-08 |
| 1447692264 | Dory Sellers | Dentist | 4515 Poplar Avenue, Suite 406, Memphis, TN 38117 | 2013-07-22 |
| 1366791808 | Amirio Jonte Armour | Pharmacist | 1760 Moriah Woods, Suite 2, Memphis, TN 38117 | 2012-08-30 |
| Find all providers in zip 38117 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710920475 | Ultra Eyecare | Optometrist | 3460 Plaza Ave, Memphis, TN 38111-4614 | 2006-06-13 |
| 1386693117 | Cathy Lynn Braswell | Optometrist | 6479 Winchester Rd, Memphis, TN 38115-4257 | 2006-05-09 |
| 1184100935 | Yueren Wang | Optometrist | 1245 Madison Ave, Memphis, TN 38104-2211 | 2018-07-16 |
| 1609032614 | Dr. Kenneth A. Weinberg & Assoc P.a. | Optometrist | 826 Mount Moriah Rd, Memphis, TN 38117-5705 | 2008-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548302854 | Donelson Eyecare, Pllc | Optometrist | 2378 Lebanon Pike, Nashville, TN 37214-2411 | 2007-02-13 |
| 1790823201 | Mary K Conway | Optometrist | 7600 H Kingston Pike, Knoxville, TN 37919-5604 | 2007-02-05 |
| 1538215777 | Kevin Lee Johnson | Optometrist | 2021 Church St Ste 300, Baptist Hospital, Medical Plaza 2, Nashville, TN 37203-2051 | 2007-01-27 |
| 1114085701 | Drs. Shields and Shields | Optometrist | 10219 Kingston Pike, Ste 101, Knoxville, TN 37922-3222 | 2006-12-05 |
| 1841381118 | Warwick C Dell | Optometrist | 8151 Hixson Pike, Hixson, TN 37343-1801 | 2006-09-28 |
| 1710991872 | Steven R. Shum | Optometrist | 2109 West St, Suite 1, Germantown, TN 38138-3837 | 2006-07-27 |
| 1831124353 | Tom Kevin Flowers | Optometrist | 189 W University Pkwy Ste D, Jackson, TN 38305-1671 | 2006-07-12 |
| 1609806637 | Lina M Desai | Optometrist | 11232 W Point Dr, Suite A, Knoxville, TN 37934-2837 | 2006-07-04 |
| 1558306043 | Turner Vision of Tennessee, Psc | Optometrist | 3051 Kinzel Way, Knoxville, TN 37924-2190 | 2006-06-18 |
| 1235199985 | Brian Bruce Dubes | Optometrist | 2542 N Main St, Suite 1, Crossville, TN 38555-8756 | 2006-03-26 |
| 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.