Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack Donovan Lemon, MD

Individual provider Retina Specialist (Ophthalmology) Physician · NPI 1003378019

Jack Donovan Lemon, MD is an Ophthalmology in Arcadia, California. Qualified in 2019, 7 years ago. Practices with Toufic S. Melki, MS, MD, PA, a 2-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

622 W Duarte Rd Ste 101
Arcadia, CA 91007-9266
Phone: (626) 254-9010
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence A187679 (CA)
Retina Specialist (Ophthalmology) Physician Taxonomy 207WX0107X · Licence A187679 (CA)

Record details

NPI number1003378019
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 1, 2019
Last updated in NPPESMay 14, 2024
Certification dateMay 14, 2024
Mailing address5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Toufic S. Melki,Ms,Md,Pa — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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