Soo Mi Lee, O. D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

CA12607T Issued in CA

Practice address

1839 W Orangethorpe Ave
Fullerton, CA 92833-4405

Phone

(714) 879-2020

Fax

(714) 525-7138

NPI assigned

Mar 23, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Soo Lee Other name

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

Southern California College of Optometry, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern California Eye Consultants Inc.Group PAC ID 4284861014, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.51 of 100Reported as group

Quality

97.31

Improvement activities

40

Cost

75.29

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Southern California Eye Consultants Inc.

  • Ophthalmology Physician
  • Orange, CA
  • NPI 1225467038
  Medicare reassignment Care Compare group
• Steven J. Chiana, O.D. Inc.

  • Optometrist
  • Fullerton, CA
  • NPI 1508811431
  NPD (past)

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376660555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MAGNOLIA AVE",
            "address_2": "9",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928333583",
            "telephone_number": "714-469-5556",
            "fax_number": "714-578-5715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1839 W ORANGETHORPE AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928334405",
            "telephone_number": "714-879-2020",
            "fax_number": "714-525-7138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SOO MI",
        "name_prefix": "Dr.",
        "credential": "O. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "CA12607T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOO",
            "last_name": "LEE",
            "prefix": "DR.",
            "credential": "O. D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sarah Soo Lee, RDN
• Sejin Lee
• Seo Young Lee, NP
• Shin-Yu Lee
• Shirley Lee, DDS
• Soojin Lee
• Sun Wha Lee, LAC
• Sun Woo Lee
• Sung Hoon Lee, D.D.S.
• Tiffany Lee

• Optometrist in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.