Active NPI
Soo Jung Lee, OD
- Optometrist
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT003445
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Quality
- 80.61
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.51 of 100
- Quality
- 80.61
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT003445 | GA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perimeter Vision Care, LLC | Optometrist | Current | Accepting new patients |
| Perimeter Vision Care, LLC | Optometrist | Current | Accepting new patients |
| Thomas Eye Group PC | Optometrist | Current | Accepting new patients |
| Thomas Eye Group PC | Optometrist | Current | Accepting new patients |
| Alpharetta Vision Care, LLC | Optometrist | Past | Accepting new patients |
| Perimeter Vision Care, LLC | Optometrist | Past | 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
- 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.
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- Optometrist
- Stone Mountain, GA
- NPI 1043032840
-
- Optometrist
- Alpharetta, GA
- NPI 1487224150
-
- Optometrist
- Alpharetta, GA
- NPI 1174397053
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.