Individual provider Active NPI

Jae Youn Sarah Lee, M.D.

  • Ophthalmology Physician
  • Columbia, SC
National Provider Identifier
1881089571
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
39763 Issued in SC
Practice address
1920 Pickens St
Columbia, SC 29201-2632
Phone
(803) 779-3070
NPI assigned
Mar 31, 2015
Last updated
Aug 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 39763 SC Primary

Addresses

Primary practice location

1920 Pickens St
Columbia, SC 29201-2632

Mailing address

1920 Pickens St
Columbia, SC 29201-2632
Phone (803) 779-3070

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sarah.leemd.p1@direct.columbiaeyeclinic.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190813003068 SC Practitioner - Ophthalmology 5193008068 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
George Washington University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Eye Clinic PAGroup PAC ID 8426069907, 20 clinicians

Practice addresses (Care Compare)

1920 Pickens St
Columbia, SC 29201-2632
Phone (803) 779-3070

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
39763SCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Eye Clinic PA Ophthalmology CurrentSince Aug 8, 2019 Accepting new patients

Locations

1920 Pickens St
Columbia, SC 29201
Phone (803) 254-7732

100 Palmetto Park Blvd
Lexington, SC 29072
Phone (803) 806-0075

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1881089571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 PICKENS ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012632",
            "telephone_number": "803-779-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 PICKENS ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012632",
            "telephone_number": "803-779-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JAE YOUN",
        "middle_name": "SARAH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-31",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "39763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sarah.leemd.p1@direct.columbiaeyeclinic.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1920 Pickens St",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292012632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.