Individual provider Active NPI

Valerie Trejo Lee, O.D.

  • Optometrist
  • Portland, OR
National Provider Identifier
1417235797
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3411AT Issued in OR
Practice address
7545 NE Glisan St
Portland, OR 97213-6356
Phone
(503) 282-3070
NPI assigned
Aug 3, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3411AT OR Primary

Addresses

Primary practice location

7545 NE Glisan St
Portland, OR 97213-6356

Mailing address

22421 Skyview Dr
West Linn, OR 97068-8236
Phone (318) 469-2026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20260129001928 TN Practitioner - Optometry 5799943247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

19100 Ridgewood Pkwy
San Antonio, TX 78259-1828

19100 Ridgewood Pkwy
BLDG 1 7TH Floor
San Antonio, TX 78259-0001

8930 Legends Lake LN
Knoxville, TN 37922-5257

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3411ATORMDOptometrist
3714TNMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
TN Doctors of Optometry, PLLC Optometrist CurrentSince Dec 1, 2025 Accepting new patients
TN Doctors of Optometry, PLLC Optometrist CurrentSince Dec 1, 2025 Accepting new patients
Professional Provider Enterprise LLC Optometrist Past Accepting new patients

Locations

2012 Crossings Cir
Ste B
Spring Hill, TN 37174
Phone (931) 489-9151

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317168000000",
    "number": "1417235797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22421 SKYVIEW DR",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970688236",
            "telephone_number": "318-469-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7545 NE GLISAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972136356",
            "telephone_number": "503-282-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "VALERIE",
        "middle_name": "TREJO",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-03",
        "last_updated": "2011-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3411AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.