Susannah Lee Eye Care

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SUSANNAH LEE EYE CARE

Practice address

5295 NE Elam Young Pkwy Ste 150
Hillsboro, OR 97124-7572

Phone

(503) 547-8201

Fax

(503) 547-8288

NPI assigned

Feb 16, 2018

Organization subpart

No

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

Authorized official

Name

Susannah Lee, O.D.NPI 1558747576

Title

President

Phone

(971) 506-6880

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susannah Lee, O.D.

  • Optometrist
  • Portland, OR
  • NPI 1558747576
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749772800000",
    "number": "1093215949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 NW RIVERSCAPE ST APT 504",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972091840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5295 NE ELAM YOUNG PKWY STE 150",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971247572",
            "telephone_number": "503-547-8201",
            "fax_number": "503-547-8288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 NE 20th St",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "OR",
            "postal_code": "973651851",
            "country_code": "US",
            "telephone_number": "541-265-4201",
            "fax_number": "541-265-4202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUSANNAH LEE EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-16",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SUSANNAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "971-506-6880",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunset Vision Center LLC
• Sunstone Integrative Mental Health
• Surgical Assistant PC
• Polina Surikova
• Radhika Suryadevara, M.D.
• Rossana Sutherland, RPH
• Ildiko Suto, PSY.D.
• Christina Alexis Sutton Hirsch, PSY.D., PSY
• Aijiro P Suzuki, MD
• Marina Suzuki, PHARMD

• Optometrist in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.