MOON JEONG LEE M.D. NPI 1235674458

NPI Information

  • NPI: 1235674458
  • Provider Name: MOON JEONG LEE, M.D.
  • Classification: Ophthalmology - 207WX0009X
  • Specialization: Glaucoma Specialist
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 840 WALNUT ST STE 1110
    PHILADELPHIA, PA
    ZIP 19107
  • Phone: (215) 928-3197

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NPI Details

Moon Jeong Lee, M.D. is a glaucoma specialist ophthalmology in Philadelphia, PA with 6 years of experience. The provider is an ophthalmologist who specializes in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions. Moon Jeong Lee, M.D. NPI is 1235674458. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2020

The provider's business location address is:

840 WALNUT ST STE 1110
PHILADELPHIA, PA
ZIP 19107-109
Phone: (215) 928-3197
Fax: (215) 928-0166

The NPI 1235674458 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/24/2016 and was last updated on 9/3/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmologyMD484290PENNSYLVANIANo
2207WX0009XOphthalmologyGlaucoma SpecialistD0104769MARYLANDYes
3207WX0009XOphthalmologyGlaucoma SpecialistMD484290PENNSYLVANIANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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