Healthcare Provider Details

I. General information

NPI: 1699692756
Provider Name (Legal Business Name): JENNY LEE-OCK, OD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 5TH AVE FL 2
NEW YORK NY
10001-3605
US

IV. Provider business mailing address

310 5TH AVE FL 2
NEW YORK NY
10001-3605
US

V. Phone/Fax

Practice location:
  • Phone: 212-971-0911
  • Fax: 212-714-2097
Mailing address:
  • Phone: 212-971-0911
  • Fax: 212-714-2097

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JENNY LEE-OCK
Title or Position: OPTOMETRIST
Credential: OD
Phone: 212-971-0911