JACOB CHUNG LEE (NPI# 1447773296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447773296 |
| Entity Type | Individual |
| Full Name | JACOB CHUNG LEE |
| Credential | MD |
| Practice Address |
6329 Gall Blvd Zephyrhills FL 33542-2515 |
| Mailing Address |
119 Ivy Ln Tenafly NJ 07670-2410 |
| Practice Telephone | 8137887616 |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2017-07-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | ME132877 | FL | Allopathic & Osteopathic Physicians |
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
ME132877 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871003152 | Jacob Lee | Technician, Other | 12 Keystone Way, San Francisco, CA 94127 | 2017-10-02 |
| 1104243260 | Jacob Lee | Acupuncturist | 827 N Bloodworth St Ste A, Raleigh, NC 27604-1231 | 2014-03-26 |
| 1083768725 | Jacob K. Lee | Dentist | 903 Calle Amanecer Ste 160, San Clemente, CA 92673-6272 | 2007-01-22 |
| 1174543847 | Jacob J Lee | Dentist | 1006 Professional Blvd, Suite B, Dalton, GA 30720-2505 | 2006-07-19 |
| 1104431485 | Jacob Cole Lee | Physician Assistant | 7545 Airways Blvd, Southaven, MS 38671-5806 | 2020-09-13 |
| 1811513781 | Jacob Jan Lee | Physical Therapist | 953 Walnut St, Wheatland, WY 82201-2665 | 2020-06-17 |
| 1720556194 | Jacob Lee | Behavior Technician | 2110 E Flamingo Rd Ste 150, Las Vegas, NV 89119-5190 | 2018-11-05 |
| 1790282259 | Jacob C Lee | Student in an Organized Health Care Education/Training Program | 300 W 19th Ter, Kansas City, MO 64108-2026 | 2018-04-11 |
| 1912438805 | Jacob Lee | Student in an Organized Health Care Education/Training Program | 2000 Canal St, New Orleans, LA 70112-3018 | 2017-03-23 |
| 1134519457 | Jacob Lee | Registered Nurse | 424 Savannah Rd, Lewes, DE 19958-1462 | 2015-01-26 |
| Street Address |
6329 GALL BLVD |
| City | ZEPHYRHILLS |
| State | FL |
| Zip Code | 33542-2515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669467437 | Stuart Jon Kaufman | Ophthalmology | 6329 Gall Blvd, Zephyrhills, FL 33542-2515 | 2005-09-16 |
| 1316306020 | Stuart J. Kaufman Md & Assoc Pa | Ophthalmology | 6329 Gall Blvd, Zephyrhills, FL 33542-2515 | 2016-02-23 |
| 1093031486 | Amde Selassie Shifera | Ophthalmology | 6329 Gall Blvd, Zephyrhills, FL 33542-2515 | 2010-04-11 |
| 1578896155 | Jonathan Robert Kaufman | Ophthalmology | 6329 Gall Blvd, Zephyrhills, FL 33542 | 2009-09-14 |
| 1083838692 | Stuart J Kaufman Md & Assoc Pa | Ophthalmology | 6329 Gall Blvd, Zephyrhills, FL 33542-2515 | 2007-04-13 |
| 1972541738 | Timothy Alan Parker | Optometrist | 6329 Gall Blvd, Zephyrhills, FL 33542 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487260469 | Caring Cherubs LLC | Homemaker | 38336 5th Ave, Zephryhills, FL 33542 | 2020-09-16 |
| 1457906356 | Appolonie Nahishakiye | Social Worker | 38439 18th Avenue, Zephyrhills, FL 33542 | 2019-08-07 |
| 1326537846 | Justin Lane Roark | Registered Nurse | 4141 Transue Drive, Zephyrhills, FL 33542 | 2018-05-10 |
| 1497256879 | Michelle Medical Solutions Inc | Durable Medical Equipment & Medical Supplies | 39009 County Road 54, Zephyrhills, FL 33542 | 2018-02-22 |
| 1699275891 | Layne Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 39047 County Road 54, Zephyrhills, FL 33542 | 2018-02-15 |
| 1821348525 | Florida Pharmacy Solutions, Inc | Pharmacy | 38444 5th Avenue, Zephyrhills, FL 33542 | 2012-09-11 |
| 1053667469 | Derrick S Tipton | Physical Therapy Assistant | 5939 Gall Blvd., Zephyrhills, FL 33542 | 2012-08-03 |
| 1891078127 | Stacy Marie Hill | Pharmacist | 6494 Gall Blvd, Zephyrhills, FL 33542 | 2011-09-22 |
| 1568766111 | Jamie H. Barron, Psy.d. P.a. | Psychologist | 37800 S.r. 54 West, Zephyrhills, FL 33542 | 2010-12-22 |
| 1245377985 | Family Home Health Services LLC | Home Health | 38196 Medical Center, Zephyrhills, FL 33542 | 2007-01-31 |
| Find all providers in zip 33542 | ||||
| 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 |
|---|---|---|---|---|
| 1598253791 | Miami Eye & Retina, Inc | Ophthalmology | 4305 N Jefferson Ave, Miami Beach, FL 33140-2933 | 2018-04-24 |
| 1831608496 | Comprehensive Retina Consultants Pllc | Ophthalmology | 1501 N Us Highway 441 Ste 1106, The Villages, FL 32159-6800 | 2017-09-27 |
| 1538441811 | Pautler Cohen Findlay and Eichenbaum Mds Pa | Ophthalmology | 12903 N 56th St, Temple Terrace, FL 33617-1225 | 2011-09-13 |
| 1497076335 | Elizabeth R Richter | Ophthalmology | 3920 Bee Ridge Rd Bldg D, Sarasota, FL 34233-1207 | 2010-06-15 |
| 1013234624 | Christopher Roy Stelton | Ophthalmology | 3400 S Tamiami Trl Ste 101, Sarasota, FL 34239 | 2010-04-23 |
| 1457389447 | Mandeep Singh Dhalla | Ophthalmology | 6333 N Federal Hwy Ste 300, Fort Lauderdale, FL 33308 | 2006-06-29 |
| 1336144575 | Karina Billiris Findlay | Ophthalmology | 2705 W Saint Isabel St, Tampa, FL 33607-6319 | 2005-06-15 |
| 1659998482 | Don Hershelson Noel | Ophthalmology | 900 Nw 17th St, Miami, FL 33136-1119 | 2020-06-27 |
| 1457918625 | Gary Shienbaum Md Pa | Ophthalmology | 7261 Sheridan St Ste 100b, Hollywood, FL 33024-2708 | 2019-05-23 |
| 1235625039 | South Florida Retina Institute, Pllc | Ophthalmology | 20900 Ne 30th Ave Ste 207, Aventura, FL 33180 | 2018-07-03 |
| Find all providers with the same taxonomy | ||||
| City | ZEPHYRHILLS |
| Zip Code | 33542 |
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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.