JAE LEE (NPI# 1013214287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013214287 |
| Entity Type | Individual |
| Full Name | JAE LEE |
| Practice Address |
1630 Pleasant Hill Rd #b11 Duluth GA 30096 |
| Mailing Address |
3624 Dunbar Ln Suwanee GA 30024-7411 |
| Practice Telephone | 6788942161 |
| Practice Fax Number | 6788236923 |
| Mailing Telephone | 6789071587 |
| Mailing Fax Number | 6788236923 |
| Enumeration Date | 2011-02-23 |
| Last Update Date | 2011-02-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
LDO002349 | GA | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336637586 | Jae Myung Lee | Counselor | 1166 S Elmhurst Rd, Mt Prospect, IL 60056-4241 | 2018-04-24 |
| 1477098887 | Jae Lee | Acupuncturist | 955 Armory Rd, Barstow, CA 92311-5461 | 2016-12-21 |
| 1346658192 | Jae Yong Lee | Dentist | 1111 River Road, G25, Edgewater, NJ 07020-1369 | 2014-07-24 |
| 1205241320 | Jae Lee | Acupuncturist | 12411 Osborne St, Unit 45, Pacoima, CA 91331-2000 | 2014-06-26 |
| 1386067155 | Jae S Lee | Acupuncturist | 14748 Roosevelt Ave Apt 1f, Flushing, NY 11354-4709 | 2014-01-29 |
| 1609217736 | Jae Bum Lee | Dentist | 401 S Glenoaks Blvd Ste 100, Burbank, CA 91502-2707 | 2013-07-17 |
| 1699026906 | Jae Hun Lee | Pharmacist | Providence St. Peter Hospital, 413 Lilly Road N.e., Department of Pharmacy, Olympia, WA 98506 | 2012-09-26 |
| 1306194279 | Jae Hun Lee | Acupuncturist | 1630 Pleasant Hill Rd Ste C2, Duluth, GA 30096-5899 | 2012-08-26 |
| 1629332812 | Jae Young Lee | Internal Medicine | 419 N. Harrison St, Princeton, NJ 08540-4089 | 2012-07-02 |
| 1366718934 | Jae Lee | Pharmacist | 25250 Pacific Highway S, Kent, WA 98032 | 2012-03-28 |
| Street Address |
1630 PLEASANT HILL RD #B11 |
| City | DULUTH |
| State | GA |
| Zip Code | 30096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235158478 | Eric Glen Chelekis | Chiropractor | 1630 Pleasant Hill Rd, Suite 230, Duluth, GA 30096-5899 | 2006-07-19 |
| 1255650941 | Dawoud | Family Medicine | 1630 Pleasant Hill Rd, Ste 340, Duluth, GA 30136-5899 | 2010-05-20 |
| 1255569026 | Sheerin H Yusuf | Dentist | 1630 Pleasant Hill Rd, 200, Duluth, GA 30096-5899 | 2009-06-30 |
| 1164668919 | Juni Health Clinic LLC | Chiropractor | 1630 Pleasant Hill Rd, #230, Duluth, GA 30096-5899 | 2008-12-29 |
| 1295901775 | Vernard Johnson | Dentist | 1630 Pleasant Hill Rd, #200, Duluth, GA 30096-5899 | 2008-05-05 |
| 1861603961 | Samuel Lee | Acupuncturist | 1630 Pleasant Hill Rd, #c-2, Duluth, GA 30096-5899 | 2007-05-24 |
| 1174625768 | Neda Raeisian | Dentist | 1630 Pleasant Hill Rd, Suite 200, Duluth, GA 30096-5899 | 2006-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615897 | Georgia Eye Optical, LLC | Ophthalmology | 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 | 2020-09-25 |
| 1568090868 | Positive Behavior Services, Inc | Behavior Technician | 3765 Crestwood Pkwy Nw, Duluth, GA 30096 | 2020-03-31 |
| 1861031940 | Elizabeth Ashley Edouard | Counselor | 3464 Duluth Hwy 120, Duluth, GA 30096 | 2020-01-06 |
| 1245701044 | Kathryn Irene Vaughn | Social Worker | 3968 Mainsail Court, Duluth, GA 30096 | 2018-12-06 |
| 1083184626 | Aica Orthopedics, P.C. | Orthopaedic Surgery | 3775 Venture Drive Bldg F, Duluth, GA 30096 | 2018-11-27 |
| 1245709799 | Positive Impact Health Centers, Inc. | Pharmacy | 3350 Breckinridge Blvd, Suite 200a, Duluth, GA 30096 | 2018-11-14 |
| 1235611724 | Katherine Winstead Knott | Counselor | 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 | 2018-08-31 |
| 1710467857 | Envision Optics LLC | Optometrist | 1943 Pleasant Hill Rd, Duluth, GA 30096 | 2018-08-17 |
| 1104314202 | Erin Mckernan Scupham | Chiropractor | 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 | 2018-04-25 |
| 1053839456 | Rogers Bridge Pediatric Therapy, LLC | Clinic/Center | 2845 Summercrest Ln, Duluth, GA 30096 | 2017-09-06 |
| Find all providers in zip 30096 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215258157 | National Vision, Inc. | Technician/Technologist | 2435 Commerce Ave, Bldg 2200, Duluth, GA 30096-4980 | 2010-06-15 |
| 1013187855 | John Peter Vorderbruggen | Technician/Technologist | 901 N 23rd Ave W, Duluth, MN 55806-1244 | 2008-03-07 |
| 1679624621 | Visual Edge, Inc | Technician/Technologist | 1405 Miller Trunk Hwy, Duluth, MN 55811 | 2007-01-16 |
| 1891784062 | North Land Optical Co | Technician/Technologist | 600 E Superior St, Ste 111, Duluth, MN 55802-2222 | 2005-10-19 |
| 1720509136 | Donald L Quada | Technician/Technologist | 2106 London Rd, Duluth, MN 55812-2127 | 2017-07-06 |
| 1881007797 | Choon K. Kim | Technician/Technologist | 3751 Satellite Blvd, #200, Duluth, GA 30096-8840 | 2014-06-09 |
| 1750549259 | Eric William Scofield | Technician/Technologist | 324 W Superior St, Duluth, MN 55802-1701 | 2008-05-30 |
| 1811088180 | Sam's Club Optical | Technician/Technologist | 3450 Steve Reynolds Blvd, Duluth, GA 30096-4510 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427667302 | Carole F Medou | Technician/Technologist | 57 Hurricane Shoals Rd Nw Ste A, Lawrenceville, GA 30046-5396 | 2020-07-28 |
| 1255966206 | Steven W Burton | Technician/Technologist | 2498 Wingfield Dr, Austell, GA 30106-1762 | 2020-03-10 |
| 1477185205 | Dale A Klauss | Technician/Technologist | 294 Kenwood Rd Ste A, Fayetteville, GA 30214-3451 | 2020-02-10 |
| 1104380682 | National Vision Inc | Technician/Technologist | 97 Parkway Dr, Fort Oglethorpe, GA 30742-4249 | 2019-01-29 |
| 1134683600 | National Vision Inc | Technician/Technologist | 3159 Highway 278 Ne, Covington, GA 30014-2301 | 2019-01-29 |
| 1255818993 | Kerryn Castellon | Technician/Technologist | 55 Sudderth St, Buford, GA 30518-3335 | 2018-07-25 |
| 1770075731 | National Vision, Inc. | Technician/Technologist | 916 Loganville Hwy Ste 300, Bethlehem, GA 30620-2145 | 2018-06-05 |
| 1598262487 | National Vision, Inc. | Technician/Technologist | 534 Marketplace Pkwy Ste 740, Dawsonville, GA 30534-7549 | 2018-04-09 |
| 1720582992 | Amos D Washington | Technician/Technologist | 10269 Industrial Blvd Ne, Covington, GA 30014-1485 | 2018-03-21 |
| 1619490489 | Lisa Stonebraker | Technician/Technologist | 105 E Main St Ste 116, Woodstock, GA 30188-5013 | 2017-07-24 |
| 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.