Individual provider Active NPI

Jung Lee, OD

  • Optometrist
  • Alexandria, VA
National Provider Identifier
1114501657
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618003036 Issued in VA
Practice address
915 N Saint Asaph St Ste 130
Alexandria, VA 22314-1531
Phone
(703) 399-2021
NPI assigned
May 11, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618003036 VA Primary

Addresses

Primary practice location

915 N Saint Asaph St Ste 130
Alexandria, VA 22314-1531

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210624002434 DC Practitioner - Optometry 0749681005 Reassigns benefits to 1 organization
I20220506000044 VA Practitioner - Optometry 0749681005 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Virginia, PLLCGroup PAC ID 0143448456, 133 clinicians

Practice addresses (Care Compare)

22000 Dulles Retail PLZ
Suite 168
Sterling, VA 20166-2517
Phone (703) 421-3322

44727 Brimfield Dr
Ashburn, VA 20147-5920
Phone (571) 385-4600

915 N Saint Asaph St
Suite 130
Alexandria, VA 22314-1531
Phone (703) 399-2021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dulles Optometry, LLC Optometrist CurrentSince Sep 5, 2023 Accepting new patients
Myeyedr Optometry of Virginia PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Jul 6, 2021 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Jul 6, 2021 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Mar 1, 2022 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist Past Accepting new patients

Locations (25 of 27)

6307 Richmond Hwy
Ste D
Alexandria, VA 22306
Phone (703) 269-9878

4555 Duke St
Alexandria, VA 22304
Phone (703) 370-7111

915 N Saint Asaph St
Ste 130
Alexandria, VA 22314
Phone (703) 399-2021

915 N Saint Asaph St
#130
Alexandria, VA 22314
Phone (703) 399-2021

2823 Clarendon Blvd
Arlington, VA 22201
Phone (703) 294-6600

44050 Ashburn Shopping Plz
Ste 163
Ashburn, VA 20147
Phone (703) 726-0005

44727 Brimfield Dr
Ashburn, VA 20147
Phone (571) 385-4600

5765 Burke Centre Pkwy
Ste L
Burke, VA 22015
Phone (703) 250-2000

14245P Centreville Sq
Centreville, VA 20121
Phone (703) 830-2010

14337 Newbrook Dr
Ste 400
Chantilly, VA 20151
Phone (571) 512-5990

4203 Fairfax Corner Ave E
Fairfax, VA 22030
Phone (703) 266-8400

2910 District Ave
Ste 160
Fairfax, VA 22031
Phone (703) 269-9866

7511 Leesburg Pike
Ste 101B
Falls Church, VA 22043
Phone (703) 942-5300

5809 Leesburg Pike
Falls Church, VA 22041
Phone (866) 693-9336

7367 Atlas Walk Way
Gainesville, VA 20155
Phone (703) 753-7200

617 Potomac Station Dr NE
#A
Leesburg, VA 20176
Phone (703) 669-4646

1648 Boro Pl
#105B
McLean, VA 22102

1401 Chain Bridge Rd
Ste 103104
McLean, VA 22101

1841 Fountain Dr
Reston, VA 20190
Phone (703) 264-2020

6406 Springfield Plz
Springfield, VA 22150
Phone (703) 451-4577

24570 Dulles Landing Dr
Sterling, VA 20166
Phone (571) 367-7610

24570 Dulles Landing Dr
Unit 170
Sterling, VA 20166
Phone (571) 367-7610

22000 Dulles Retail Plz
Ste 168
Sterling, VA 20166
Phone (703) 421-3322

1950 Old Gallows Rd
Ste 100
Vienna, VA 22182

401 Maple Ave W
Vienna, VA 22180
Phone (703) 938-5544

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": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1114501657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 N SAINT ASAPH ST STE 130",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223141531",
            "telephone_number": "703-399-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JUNG",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-11",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618003036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.