Jaehoon Lee, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

12239T Issued in CA

Practice address

19179 Bear Valley Rd
#10
Apple Valley, CA 92308-2724

Phone

(760) 240-9679

Fax

(760) 247-0076

NPI assigned

Mar 21, 2007

Last updated

Sep 15, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Optometry

Education

New England College of Optometry, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jaehoon Lee Optometry CorpGroup PAC ID 8628308525, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Jaehoon Lee Optometry Corp

  • Optometrist
  • Rancho Mirage, CA
  • NPI 1891347076
  Medicare reassignment Care Compare group NPD Authorized official
• Jaehoon Lee Redlands Optometry

  dba MyEyeGuy

  • Optometrist
  • Redlands, CA
  • NPI 1649075581
  NPD Authorized official
• Jaehoon Lee Optometry Corp

  dba My Eye Guy Optometry

  • Optometrist
  • Redlands, CA
  • NPI 1407683063
  NPD (past) Authorized official
• Jaehoon Lee Optometry Corp

  dba Sun City Vision Clinic

  • Optometrist
  • Sun City, CA
  • NPI 1932904877
  NPD (past) Authorized official
• Jaehoon Lee, OD, Inc.,

  • Optometrist
  • Apple Valley, CA
  • NPI 1558654277
  Authorized official Same address or phone
• Dean E. King, O.D.

  • Optometrist
  • Hemet, CA
  • NPI 1568675924
  NPD (past)
• Eye Specialists of California Medical Group

  dba Escondido Optical

  • Ophthalmology Physician
  • Escondido, CA
  • NPI 1063969509
  NPD (past)

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410739200000",
    "number": "1174648687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19179 BEAR VALLEY RD",
            "address_2": "#10",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923082724",
            "telephone_number": "760-240-9679",
            "fax_number": "760-247-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19179 BEAR VALLEY RD",
            "address_2": "#10",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923082724",
            "telephone_number": "760-240-9679",
            "fax_number": "760-247-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JAEHOON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2014-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12239T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Tayson Ledbetter
• Brenda K. Lee Simon, AMFT
• Alexander Sang-Hyun Lee, M.D
• Andrew Sanghwui Lee, DMD
• Elaine Lee, O.D.
• Jeong Lee
• Jerrica Laifun Lee, PHARMD
• Kyung H Lee, L.AC
• Samuel Shin Kwon Lee, M.D.
• Seung Hee Lee

• Optometrist in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; 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.

Verify at the official NPI Registry.