Active NPIIndividual provider

Dr. Nicole S Lee, OD

Optometrist in Austin, Texas

NPI Number1780051763
Practice location
2007 S 1ST St Ste 104, Austin, TX 78704-5195
Fax
512-774-5975
Last updated
December 16, 2025

Nicole Stephanie Lee is an Optometrist based in Austin, TX. Nicole Stephanie Lee practices in Austin, TX and has the professional credentials of OD. The NPI Number for Nicole Stephanie Lee is 1780051763 and holds a License No. OPT.0004152 (CO). The current practice location address for Nicole Stephanie Lee is 2007 S 1ST St Ste 104, Austin, TX 78704-5195 and can be reached out via phone at 512-774-6002 and via fax at 512-774-5975.

Provider Profile Details

NPI Number
1780051763
Provider Name
Nicole Stephanie Lee
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
2007 S 1ST St Ste 104, Austin, TX 78704-5195
Phone Number
512-774-6002
Fax Number
512-774-5975
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
August 26, 2015
Last Update Date
December 16, 2025
Certification Date
December 16, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
2007 S 1ST St Ste 104
Austin, TX 78704-5195
City
Austin
State
Texas
Zip
78704-5195
Phone Number
512-774-6002
Fax Number
512-774-5975
Austin, TX 78704Get directions →

Provider Business Mailing Address Details

Address
2007 S 1ST St Ste 104
Austin, TX 78704-5195
City
Austin
State
TX
Zip
78704-5195
Phone Number
512-774-6002
Fax Number
512-774-5975

License Information

License Number (1)
OPT.0004152
License State (1)
CO
Taxonomy (1)
Optometrist · 152W00000X
License Number (2)
TPOP306
License State (2)
FL
Taxonomy (2)
Optometrist · 152W00000X
License Number (3)
10506
License State (3)
TX
Taxonomy (3)
Optometrist · 152W00000X · Primary
License Number (4)
VI61
License State (4)
VI
Taxonomy (4)
Optometrist · 152W00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Nicole S Lee, OD?

The NPI number of Dr. Nicole S Lee, OD is 1780051763. It was assigned on August 26, 2015 and is currently active in the NPPES registry.

What is the specialty of Dr. Nicole S Lee, OD?

Dr. Nicole S Lee, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in CO under license number OPT.0004152.

Where does Dr. Nicole S Lee, OD practice?

The practice location is 2007 S 1ST St Ste 104, Austin, TX 78704-5195. The office can be reached at 512-774-6002 (phone) or 512-774-5975 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1780051763 directly on the NPPES registry website.

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