GREGORY DONGKYU LEE (NPI# 1609162155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609162155 |
| Entity Type | Individual |
| Full Name | GREGORY DONGKYU LEE |
| Credential | M.D. |
| Practice Address |
990 Sanders Rd Ste 100 Cumming GA 30041-5960 |
| Mailing Address |
1100 Johnson Ferry Rd Ste 593 Atlanta GA 30342-1733 |
| Practice Telephone | 6786794830 |
| Mailing Telephone | 4042559096 |
| Mailing Fax Number | 4042559097 |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2019-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
289000 | NY | Allopathic & Osteopathic Physicians |
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
82692 | GA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 240 E 38th St Fl 13, New York, NY 100162708 | (212) 263-2573 | 2122632574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831341304 | Gregory Jay Lee | Counselor | 328 Greentrails Dr S, Chesterfield, MO 63017-2917 | 2008-10-16 |
| 1679763692 | Gregory Tse Lee | Radiology | 170 William Street, Dept. of Radiology, Ny Downtown Hospital, New York, NY 10038 | 2007-07-26 |
| 1912044041 | Gregory Scot Lee | Dentist | 4101 Dublin Blvd, Suite D, Dublin, CA 94568-4592 | 2007-01-30 |
| 1154419950 | Gregory K Lee | Chiropractor | 10721 Main St Ste 1500, Fairfax, VA 22030-6910 | 2006-10-10 |
| 1063521326 | Gregory P. Lee | Clinical Neuropsychologist | 222 W Thomas Rd Ste 315, Phoenix, AZ 85013 | 2006-08-30 |
| 1043200959 | Gregory J. Lee | Family Medicine | 1070 Copperfield Dr, Georgetown, IN 47122-9076 | 2005-10-24 |
| 1427057520 | Gregory Allen Lee | Chiropractor | 1408 Atlantic Ave, Benson, MN 56215-1126 | 2005-07-20 |
| 1306317698 | Gregory Lee | Behavior Technician | 11770 Bernardo Plaza Ct Ste 350, San Diego, CA 92128-2426 | 2018-12-11 |
| 1063867968 | Gregory Lee | Student in an Organized Health Care Education/Training Program | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2016-04-28 |
| 1407210495 | Gregory Michael Lee | Student in an Organized Health Care Education/Training Program | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2016-04-06 |
| Street Address |
990 SANDERS RD STE 100 |
| City | CUMMING |
| State | GA |
| Zip Code | 30041-5960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962036905 | Annie Kyungjin Han | Nurse Practitioner | 1505 Northside Forsyth Drive, Suite 2500, Cumming, GA 30041 | 2020-02-28 |
| 1295388197 | Pamela Edler | Pharmacist | 1200 Northside Forsyth Drive, Pharmacy Department, Cumming, GA 30041 | 2019-07-19 |
| 1720557127 | Dr. Tiffany Lamonde LLC | Physical Therapist | 1445 Haw Creek Circle, Suite 503, Cumming, GA 30041 | 2018-11-15 |
| 1487140893 | Bhbd LLC | Chiropractor | 425 Peachtree Parkway, Suite 315, Cumming, GA 30041 | 2018-07-09 |
| 1891219861 | Anna Gawrys | Pharmacist | 1525 Marketplace Blvd, Cumming, GA 30041 | 2017-08-01 |
| 1679029219 | Square One Dental LLC | Clinic/Center | 3510 Rowe Lane, Cumming, GA 30041 | 2016-09-01 |
| 1720441454 | Pavilion Psychological Services LLC | Psychologist | 1445 Haw Creek Corners Circle East, Suite 501, Cumming, GA 30041 | 2016-03-31 |
| 1346606506 | American Health Imaging of Ga, LLC | Clinic/Center | 1050 Haw Creek Pkwy, Suite 100, Cumming, GA 30041 | 2016-01-04 |
| 1013311307 | Stephen Hartle | Physician Assistant | 2576 Peachtree Pkwy, Suite 100, Cumming, GA 30041 | 2014-10-15 |
| 1063828408 | Stephanie Evans Wellborn | Physician Assistant | 1800 Northside Forsyth Dr Ste 450, Cumming, GA 30041 | 2014-07-07 |
| Find all providers in zip 30041 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194922765 | Sohail Khan | Ophthalmology | 1701 Magnolia Way Ste 201, Augusta, GA 30909-9485 | 2007-06-28 |
| 1346453685 | Athens Retina Center PC | Ophthalmology | 2705 Jefferson Rd, Athens, GA 30607-1208 | 2007-05-07 |
| 1730173352 | Mohan N Iyer | Ophthalmology | 2705 Jefferson Rd., Athens, GA 30607 | 2005-09-09 |
| 1932707627 | Retina Institute of The Southeast, P.C. | Ophthalmology | 115 Dogwood Dr, Waynesboro, GA 30830-5448 | 2020-10-14 |
| 1811125610 | Victor Thomas Copeland | Ophthalmology | 2705 Jefferson Rd, Athens, GA 30607-1208 | 2009-06-30 |
| 1447461769 | Arpan Kumar Bachhawat | Ophthalmology | 160 Water Tower Ct, Macon, GA 31210-4873 | 2007-05-25 |
| 1891913380 | Diego Gabriel Espinosa-heidmann | Ophthalmology | 1120 15th Street, Ba 2320, Augusta, GA 30912 | 2007-04-23 |
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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.