Jennifer Candelaria Lee (NPI# 1255715082, PAC ID# 0042526055) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1255715082 |
| PAC ID by PECOS | 0042526055 |
| Professional Enrollment ID | I20150904000604 |
| Full Name | Jennifer Candelaria Lee |
| Organization Legal Name | GOODMAN EYECARE CENTER, LLC |
| Address |
3309 Forestville Pl Forestville MD 20747-4409 |
| Phone Number | 3014206610 |
| Gender | F |
| Medical School | PENNSYLVANIA COLLEGE OF OPTOMETRY |
| Graduation Year | 2015 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 2668527417 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4555 Duke St, Alexandria, VA 22304-2503 | 7033707111 | ALEXANDRIA OPTOMETRY, PLLC |
| 3309 Forestville Pl, Forestville, MD 20747-4409 | 3014206610 | GOODMAN EYECARE CENTER, LLC |
| 6178 Oxon Hill Rd, Suite 100, Oxon Hill, MD 20745-3161 | 3012453903 | OXON HILL OPTOMETRY, LLC |
| 1515 Stafford Market Pl, Suite 121, Stafford, VA 22556-4531 | 5406572020 | STAFFORD OPTOMETRY, LLC |
| Organization Legal Name | GOODMAN EYECARE CENTER, LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dreka Denise Williams | Optometry | Goodman Eyecare Center, LLC | 3309 Forestville Pl, Forestville, MD 20747-4409 |
| Queena Singh | Optometry | Goodman Eyecare Center, LLC | 3309 Forestville Pl, Forestville, MD 20747-4409 |
| Bruce Goodman | Optometry | Goodman Eyecare Center, LLC | 3309 Forestville Pl, Forestville, MD 20747-4409 |
| Mashael Namaeh | Optometry | Goodman Eyecare Center, LLC | 3309 Forestville Pl, Forestville, MD 20747-4409 |
| Street Address |
3309 FORESTVILLE PL |
| City | FORESTVILLE |
| State | MD |
| Zip | 20747-4409 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dreka Denise Williams | Optometry | Goodman Eyecare Center, LLC | 3309 Forestville Pl, Forestville, MD 20747-4409 |
| Queena Singh | Optometry | Goodman Eyecare Center, LLC | 3309 Forestville Pl, Forestville, MD 20747-4409 |
| Bruce Goodman | Optometry | Goodman Eyecare Center, LLC | 3309 Forestville Pl, Forestville, MD 20747-4409 |
| Mashael Namaeh | Optometry | Goodman Eyecare Center, LLC | 3309 Forestville Pl, Forestville, MD 20747-4409 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin A Anderson | Physical Therapy | 5924 Marlboro Pike, District Heights, MD 20747-1142 | |
| Adviti Jayesh Shah | Physical Therapy | Ati Holdings LLC | 2950 Donnell Dr, Suite G, Forestville, MD 20747-3277 |
| Ryan P Shumate | Physical Therapy | Ati Holdings LLC | 2950 Donnell Dr, Suite G, Forestville, MD 20747-3277 |
| Yashesh Goradia | Physical Therapy | Ati Holdings LLC | 2950 Donnell Dr, Suite G, Forestville, MD 20747-3277 |
| Deborah A Stein | Internal Medicine | Five Star Physician Services LLC | 7420 Marlboro Pike, Forestville, MD 20747-4343 |
| Boris A Frolov | Nuclear Medicine | Five Star Physician Services LLC | 7420 Marlboro Pike, Forestville, MD 20747-4343 |
| Felix Dipinto | Internal Medicine | Five Star Physician Services LLC | 7420 Marlboro Pike, Forestville, MD 20747-4343 |
| Titilayo O Orimogunje | Nurse Practitioner | Five Star Physician Services LLC | 7420 Marlboro Pike, Forestville, MD 20747-4343 |
| Edger Verdan Potter Jr. | Internal Medicine | Five Star Physician Services LLC | 7420 Marlboro Pike, Forestville, MD 20747-4343 |
| Ibrahim I.m. Salih | Family Medicine | 7610 Pennsylvania Ave, Suite 200, District Heights, MD 20747-4701 | |
| Find all physicians in zip 20747 | |||
| City | FORESTVILLE |
| Zip Code | 20747 |
| Specialty | OPTOMETRY |
| City + Specialty | FORESTVILLE + OPTOMETRY |
Please comment or provide details below to improve the information on Jennifer Candelaria Lee.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.