DR. JOHN PATRICK LEE (NPI# 1063517399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063517399 |
Entity Type | Individual |
Full Name | DR. JOHN PATRICK LEE |
Credential | O.D. |
Practice Address |
110 Broad St N Prescott WI 54021-1702 |
Practice Telephone | 7152621112 |
Practice Fax Number | 7152621112 |
Mailing Telephone | 7152621112 |
Mailing Fax Number | 7152621112 |
Enumeration Date | 2006-09-13 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 152W00000X | Optometrist | 2745 | MN | Eye and Vision Services Providers |
Y | 152W00000X | Optometrist | 2763-035 | WI | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 38618900 | 05 |
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 |
110 BROAD ST N |
City | PRESCOTT |
State | WI |
Zip Code | 54021-1702 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922104801 | Gerald Otto Gatzke | Dentist | 127 Broad St N, Prescott, WI 54021-0000 | 2006-09-16 |
1336328038 | School District of Prescott | Local Education Agency (LEA) | 1220 Saint Croix St, Prescott, WI 54021-1042 | 2007-10-30 |
1336407386 | Hillary Jane Hunter | Dentist | 1267 Walnut St, Prescott, WI 54021-1060 | 2012-04-27 |
1922090521 | Ccg Prescott, Inc | Skilled Nursing Facility | 1505 Orrin Rd, Prescott, WI 54021-1074 | 2005-08-19 |
1467051714 | Rebekah Kimlinger | Physical Therapist | 1505 Orrin Rd, Prescott, WI 54021-1074 | 2020-10-19 |
1548886278 | Sara Michele Jenkins | Occupational Therapy Assistant | 1505 Orrin Rd, Prescott, WI 54021-1074 | 2020-06-18 |
1245700624 | Caitlin Ann Johnson | Occupational Therapy Assistant | 1505 Orrin Rd, Prescott, WI 54021-1074 | 2018-11-28 |
1164991980 | Sarah Hei | Occupational Therapist | 1505 Orrin Rd, Prescott, WI 54021-1074 | 2018-11-21 |
1861960791 | Janna M Johnson | Physical Therapist | 1505 Orrin Rd, Prescott, WI 54021-1074 | 2018-11-08 |
1124528393 | Morgan Lee Williamson | Occupational Therapy Assistant | 1505 Orrin Rd, Prescott, WI 54021-1074 | 2018-02-14 |
Find all providers in zip 54021 |
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 |
---|---|---|---|---|
1326672221 | Triton Care Systems Pllc | Optometrist | 3155 Stillwater Dr Ste A, Prescott, AZ 86305-7172 | 2020-02-28 |
1851816169 | Vision Source Prescott, Ltd. | Optometrist | 1435 N Acres Rd Ste 700, Prescott, WI 54021-7053 | 2017-08-08 |
1740705037 | Lauren West | Optometrist | 980 Willow Creek Rd Ste 202, Prescott, AZ 86301-1616 | 2017-08-07 |
1780989467 | Amy H Foreste Pllc | Optometrist | 3400 Gateway Blvd, Prescott, AZ 86303-6848 | 2011-01-11 |
1144400599 | Monica Rae Stotler | Optometrist | 1951 Commerce Center Cir, Unit A, Prescott, AZ 86301-7418 | 2007-11-13 |
1811182264 | Rodney W Bauer | Optometrist | 3050 Highway 69, Suite A, Prescott, AZ 86301 | 2007-09-10 |
1922299320 | Miranda Optometry, P. C. | Optometrist | 720 N Montezuma St Ste C, Prescott, AZ 86301-2068 | 2007-08-09 |
1710007711 | Kenneth Walter Williams | Optometrist | 3250 Gateway Blvd, #152, Prescott, AZ 86303-6849 | 2007-03-31 |
1851418719 | Todd G. Geiler | Optometrist | 1000 Willow Creek Rd Ste J, Prescott, AZ 86301-1645 | 2007-03-24 |
1518011527 | Dr Rod Bauer Optometry & Contact Lenses Ltd | Optometrist | 3050 Hwy 69, Suite A, Prescott, AZ 86301 | 2007-01-23 |
Find all providers in PRESCOTT |
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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.