JOHN C LEE MD SC (NPI# 1932379849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932379849 |
| Entity Type | Organization |
| Organization Name | JOHN C LEE MD SC |
| Practice Address |
1714 S Blaine Ln Decatur IL 62521-5025 |
| Practice Telephone | 2174239000 |
| Practice Fax Number | 2174239002 |
| Mailing Telephone | 2174239000 |
| Mailing Fax Number | 2174239002 |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2008-03-06 |
| Authorized Official Name | DR. JOHN C LEE (PHYSICIAN) |
| Authorized Official Telephone | 2174239000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | IL | Suppliers |
| Street Address |
1714 S BLAINE LN |
| City | DECATUR |
| State | IL |
| Zip Code | 62521-5025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013072990 | John C. Lee | Ophthalmology | 1714 S Blaine Ln, Decatur, IL 62521-5025 | 2006-12-22 |
| 1780848978 | John C. Lee, M.d., S.c. | Ophthalmology | 1714 S Blaine Ln, Decatur, IL 62521-5025 | 2008-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053927988 | Caleb David Braasch | Pharmacist | 1818 South Airport Rd, Decatur, IL 62521 | 2020-09-16 |
| 1295390490 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | Crossing Recovery Center, 495 East Central Ave, Decatur, IL 62521 | 2019-05-03 |
| 1396300638 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 E Central Ave, Decatur, IL 62521 | 2019-05-02 |
| 1679138911 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 East Central Ave, Decatur, IL 62521 | 2019-05-02 |
| 1154848034 | Zack Shaw | Physical Therapist | 4855-57 East 36, Decatur, IL 62521 | 2017-08-23 |
| 1790032852 | Prashant Morolia | Family Medicine | 4775 E Maryland St, Decatur, IL 62521 | 2012-08-08 |
| 1003188913 | Evergreen Place Decatur, LLC | Assisted Living Facility | 4825 E Evergreen Court, Decatur, IL 62521 | 2012-02-08 |
| 1104133099 | Suzette Marie Shafer | Occupational Therapy Assistant | 1790 S. Fairview Ave., Decatur, IL 62521 | 2010-09-13 |
| 1467784090 | Community Health Improvement Center | Clinic/Center | 1221 East Condit Street, Decatur, IL 62521 | 2010-02-08 |
| 1982839056 | Kelly Clark Dds PC | Dentist | 3737 Us Rt 36 E, Decatur, IL 62521 | 2009-05-19 |
| Find all providers in zip 62521 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609924109 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 1801 Beltline Rd Sw, Colonial Mall, Decatur, AL 35601-5501 | 2007-01-08 |
| 1366497158 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 2800 Spring Ave Sw, Decatur, AL 35603-1218 | 2006-05-23 |
| 1265688816 | R W Baron Inc | Eyewear Supplier (Equipment, not the service) | 710 S 13th St, Decatur, IN 46733-1802 | 2008-08-14 |
| 1710156773 | Wal-mart Stores East, Lp | Eyewear Supplier (Equipment, not the service) | 3580 Memorial Dr, Decatur, GA 30032-2713 | 2008-02-25 |
| 1912188996 | Optiworld Vision Center, LLC | Eyewear Supplier (Equipment, not the service) | 2801 Candler Rd, Suite 66, Decatur, GA 30034-1423 | 2007-11-19 |
| 1518155381 | Decatur Optical Dispensary | Eyewear Supplier (Equipment, not the service) | 201 6th Ave Se, Decatur, AL 35601-3115 | 2007-10-05 |
| 1831381300 | Patty C Landers | Eyewear Supplier (Equipment, not the service) | 2620 Centron Dr Sw, Decatur, AL 35603-2500 | 2007-08-17 |
| 1942346101 | Marx Optical Inc | Eyewear Supplier (Equipment, not the service) | 2620 Centron Dr Sw, Decatur, AL 35603-2500 | 2007-01-29 |
| 1629014469 | Decatur Optical Dispensary | Eyewear Supplier (Equipment, not the service) | 201 6th Ave Se, Decatur, AL 35601-3115 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174138168 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1550 W Lane Rd, Machesney Park, IL 61115-1903 | 2020-09-15 |
| 1588279566 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1190 S Randall Rd Ste 104, Elgin, IL 60123-4110 | 2020-09-15 |
| 1972129294 | Luxottica Retail North America, Inc | Eyewear Supplier (Equipment, not the service) | 900 W North Ave, Chicago, IL 60642-2506 | 2020-06-23 |
| 1710512801 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 9940 Rt 47, Huntley, IL 60142 | 2020-03-09 |
| 1710512488 | Glasses On Oak St | Eyewear Supplier (Equipment, not the service) | 900 N Michigan Ave Fl 5, Chicago, IL 60611-1542 | 2020-03-03 |
| 1861026890 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 5300 Northwest Hwy, Crystal Lake, IL 60014-8072 | 2020-02-28 |
| 1952935181 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 4999 Old Orchard Ctr Ste J4, Skokie, IL 60077-1450 | 2020-02-26 |
| 1194355917 | Fr Vision 360, Inc. | Eyewear Supplier (Equipment, not the service) | 111 E Morton Ave, Jacksonville, IL 62650-3059 | 2020-01-21 |
| 1114567443 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 6215 Northwest Hwy, Crystal Lake, IL 60014-7932 | 2020-01-15 |
| 1841833399 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | Milwaukee Ave & E Towline Rd #e1600, Vernon Hills, IL 60061 | 2019-10-28 |
| 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.