Ji Hyun Lee, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3508 Issued in OR

Practice address

1865 NW 169TH PL Ste 105
Beaverton, OR 97006-7310

Phone

(503) 533-8441

Fax

(503) 533-8403

NPI assigned

Jul 24, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ji Hyun Lydia Ko Other name

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

Pacific University - College of Optometry, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sunset Eye Clinic LLCGroup PAC ID 3678624301, 6 clinicians

Sunset Vision Center LLCGroup PAC ID 9830242924, 5 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Sunset Eye Clinic LLC

  • Optometrist
  • Beaverton, OR
  • NPI 1174549364
  Medicare reassignment Care Compare group NPD
• Sunset Vision Center LLC

  • Optometrist
  • Hillsboro, OR
  • NPI 1104997659
  Medicare reassignment Care Compare group NPD
• Sunset Vision Center

  • Optometrist
  • Cornelius, OR
  • NPI 1811918949
  NPD (past)

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

{
    "created_epoch": "1311465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423094400000",
    "number": "1679851752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 NW 169TH PL STE 105",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970067310",
            "telephone_number": "503-533-8441",
            "fax_number": "503-533-8403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 NW 169TH PL STE 105",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970067310",
            "telephone_number": "503-533-8441",
            "fax_number": "503-533-8403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JI HYUN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-24",
        "last_updated": "2015-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3508",
            "primary": true
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "MN",
            "license": "3296",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JI HYUN",
            "last_name": "KO",
            "middle_name": "LYDIA",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Audra T. Lee, LPC, LMHC, LPCC LCPC
• Dale Kyu Lee, FNP, NP-C
• Hyo Young Lee, D.M.D.
• Hyun Min Lee, DDS, PC
• Janet Lee, PHARM.D
• Jonathan Chunhan Lee, D.D.S.
• Julie Lee, L.AC.MACOM
• Karie Lee, DMD
• Kenny Benjamin Lee, O.D
• Kwang Hee Lee

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; 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.