Individual provider Active NPI

Soo Jung Lee, OD

  • Optometrist
  • Atlanta, GA
National Provider Identifier
1083348338
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT003445 Issued in GA
Practice address
1100 Johnson Fy Rd NE BLDG 1
Atlanta, GA 30342-1709
Phone
(404) 531-9988
NPI assigned
Jul 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT003445 GA Primary

Addresses

Primary practice location

1100 Johnson Fy Rd NE BLDG 1
Atlanta, GA 30342-1709

Mailing address

2226 Dandridge Dr
Duluth, GA 30096-7185
Phone (404) 918-3022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220930002743 GA Practitioner - Optometry 5698151470 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Perimeter Vision Care LLCGroup PAC ID 0547685810, 18 clinicians
Thomas Eye Group PCGroup PAC ID 2567455868, 51 clinicians

Practice addresses (Care Compare)

4800 Briarcliff Rd NE
Suite 1173
Atlanta, GA 30345-2743
Phone (770) 727-0772

5995 Barfield Rd
Sandy Springs, GA 30328-4411
Phone (404) 256-1507

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT003445GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Perimeter Vision Care, LLC Optometrist CurrentSince Feb 12, 2024 Accepting new patients
Perimeter Vision Care, LLC Optometrist CurrentSince Feb 12, 2024 Accepting new patients
Thomas Eye Group PC Optometrist CurrentSince Nov 4, 2024 Accepting new patients
Thomas Eye Group PC Optometrist CurrentSince Nov 4, 2024 Accepting new patients
Alpharetta Vision Care, LLC Optometrist Past Accepting new patients
Perimeter Vision Care, LLC Optometrist PastSince Jul 21, 2024 Accepting new patients

Locations

6350 N Point Pkwy
Ste 600A
Alpharetta, GA 30022

1154 N Point Cir
Alpharetta, GA 30022
Phone (770) 667-8060

200 Ashford Ctr N
Ste 305
Atlanta, GA 30338

4832 Briarcliff Rd NE
#1
Atlanta, GA 30345
Phone (770) 493-6553

4400 Ashford Dunwoody Rd NE
Ste 1280
Atlanta, GA 30346
Phone (770) 395-6717

2860 Cumberland Mall SE
Ste 1440
Atlanta, GA 30339
Phone (770) 434-4552

3393 Peachtree Rd NE
Ste B128
Atlanta, GA 30326
Phone (404) 233-9296

4800 Briarcliff Rd NE
#1173
Atlanta, GA 30345
Phone (770) 493-9171

4480 Chamblee Dunwoody Rd
#A
Dunwoody, GA 30338
Phone (770) 392-0154

400 Ernest W Barrett Pkwy NW
Ste 617
Kennesaw, GA 30144
Phone (770) 421-1734

11690 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 475-5515

5995 Barfield Rd
Sandy Springs, GA 30328
Phone (404) 256-1507

Interoperability endpoints

  • Direct secure messaging: sjlee@teg.emadirect.md

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1083348338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2226 DANDRIDGE DR",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300967185",
            "telephone_number": "404-918-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 JOHNSON FY RD NE BLDG 1",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421709",
            "telephone_number": "404-531-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SOO JUNG",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.