Individual provider Active NPI

Minha Lee, OD

  • Optometrist
  • Bellevue, WA
National Provider Identifier
1245857044
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD61058151 Issued in WA
Practice address
1468 158TH PL NE
Bellevue, WA 98008-2782
Phone
(425) 883-9300
NPI assigned
Jun 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD61058151 WA Primary

Addresses

Primary practice location

1468 158TH PL NE
Bellevue, WA 98008-2782

Mailing address

1468 158TH PL NE
Bellevue, WA 98008-2782
Phone (425) 883-9300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20200714001974 WA Practitioner - Optometry 3870916562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Washington Professional PCGroup PAC ID 3476927997, 61 clinicians

Practice addresses (Care Compare)

12310 NE 8TH St
Suite 101
Bellevue, WA 98005-3185
Phone (425) 455-0001

1468 158TH PL NE
Bellevue, WA 98008-2782
Phone (425) 883-9300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD61058151WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Washington Professional PC Optometrist CurrentSince Aug 30, 2023 Accepting new patients

Locations

1468 158th Pl NE
Bellevue, WA 98008
Phone (425) 883-9300

12310 NE 8th St
Ste 101
Bellevue, WA 98005
Phone (425) 455-0001

1098 Alder Ave
Marysville, WA 98270
Phone (360) 659-6255

Organizations & group practices 1

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": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1245857044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1468 158TH PL NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980082782",
            "telephone_number": "425-883-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1468 158TH PL NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980082782",
            "telephone_number": "425-883-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MINHA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-29",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD61058151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.