Robert Ken Lee, O.D.
Individual provider Active NPI Optometrist · Brea, CA
NPI 1528291267 · NPPES record last updated Jan 25, 2016
Key facts
- NPI
- 1528291267
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 13811 (CA)
- Practice address
- 1040B East Imperial Highway
Brea, CA 92821 - Phone
- (714) 990-3881
- NPI assigned
- Aug 28, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- State University of New York - State College Optometry, 2009
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Spectrum Eye Physicians a Medical Corporation
Advance Vision Center of Optometry P C
Practice addresses (Care Compare)
212 Oak Meadow Dr
Los Gatos, CA 95032-4407
Phone (408) 354-4740
545 Meridian Ave
Suite G
San Jose, CA 95126-3451
Phone (408) 947-2020
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.11 of 100
- Quality
- 88.99
- Improvement activities
- 40
- Cost
- 71.73
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161202001335 | CA | Practitioner - Optometry | 1850695305 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Eye Physicians, a Medical Corporation | Optometrist | Current |
Accepting new patients |
| Spectrum Eye Physicians, a Medical Corporation | Optometrist | Current |
Accepting new patients |
| Advance Vision Center of Optometry, P C | Current |
Accepting new patients |
Locations
10300 S De Anza Blvd
Cupertino, CA 95014
Phone (408) 252-7310
10300 S De Anza Blvd
Ste A
Cupertino, CA 95014
Phone (408) 253-3083
212 Oak Meadow Dr
Los Gatos, CA 95032
Phone (408) 354-4740
545 Meridian Ave
Ste G
San Jose, CA 95126
Phone (408) 947-2020
393 Blossom Hill Rd
Ste 265
San Jose, CA 95123
Phone (408) 227-7122
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 13811 | CA | Yes |
Addresses
Primary practice location
1040B East Imperial Highway
Brea, CA 92821
Mailing address
765 San Antonio Rd
Apt 56
Palo Alto, CA 94303-4816
Phone (650) 814-2278
Other providers in Brea, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.