Jannie Lee, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

14710 Issued in CA

Practice address

12000 SE 82ND Ave Ste 1008
Portland, OR 97086-7729

Phone

(503) 654-6217

NPI assigned

Jul 25, 2013

Last updated

Jul 25, 2016By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in OR

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

University of California - School of Optometry, 2013

Medicare assignment

May accept Medicare assignment

Group practices

JD Harris PCGroup PAC ID 9931238110, 2 clinicians

Dr Han Tran and Associates PCGroup PAC ID 4183915481, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Dr. Han Tran & Associates, P.C.

  • Optometrist
  • Happy Valley, OR
  • NPI 1396109039
  Medicare reassignment Care Compare group NPD
• JD Harris PC

  dba Beaverton Vision World

  • Optometrist
  • Beaverton, OR
  • NPI 1801076542
  Medicare reassignment Care Compare group NPD
• Converge Neuro Optometry LLC

  • Optometrist
  • Tigard, OR
  • NPI 1427919729
  NPD
• Dr. Han Tran & Associates, P.C.

  dba PDX EyeCare

  • Clinic/Center
  • Portland, OR
  • NPI 1669044343
  NPD
• Broadway Vision World

  • Optometrist
  • Portland, OR
  • NPI 1295915700
  NPD (past)
• Celeste a. Paz, OD

  • Optometrist
  • Fremont, CA
  • NPI 1215134036
  NPD (past)

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

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469404800000",
    "number": "1609218163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 SE 82ND AVE STE 1008",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "970867729",
            "telephone_number": "503-654-6217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 SE 82ND AVE STE 1008",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "970867729",
            "telephone_number": "503-654-6217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JANNIE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-25",
        "last_updated": "2016-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaimie Marie Lee, MSW, LICSW, LCSW
• James Michael Lee, MPT
• Jamie Lee, RD
• Jamie Samantha McDonald Lee, ASSOCIATE MFT
• Janice Lee
• Jean D Lee, MD
• Jeffrey Howard Lee
• Jennifer Lee
• Jennifer Carrie Lee
• Jessica Lee, PA-C

• Optometrist in Portland, OR
• Providers in Portland, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; 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.