Jaehoon Lee Optometry Corp

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

JAEHOON LEE OPTOMETRY CORP

Practice address

71956 Magnesia Falls Dr
Rancho Mirage, CA 92270-4901

Phone

(760) 674-8806

Fax

(760) 674-8826

NPI assigned

Jul 9, 2019

Last updated

Apr 24, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jaehoon Lee, ODNPI 1174648687

Title

Ceo

Phone

(617) 233-4847

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Jaehoon Lee Optometry Corp3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Jaehoon Lee Optometry Corp

  dba My Eye Guy Optometry

  • Optometrist
  • Redlands, CA
  • NPI 1407683063
  NPD tax ID
• Jaehoon Lee Optometry Corp

  dba Sun City Vision Clinic

  • Optometrist
  • Sun City, CA
  • NPI 1932904877
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jaehoon Lee, O.D.

  • Optometrist
  • Apple Valley, CA
  • NPI 1174648687
  Medicare reassignment Care Compare group NPD Authorized official
• Gregory E Evans, O.D.

  • Optometrist
  • Rancho Mirage, CA
  • NPI 1922044205
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776988800000",
    "number": "1891347076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71956 MAGNESIA FALLS DR",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704901",
            "telephone_number": "760-674-8806",
            "fax_number": "760-674-8826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71956 MAGNESIA FALLS DR",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704901",
            "telephone_number": "760-674-8806",
            "fax_number": "760-674-8826"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27830 Bradley Rd",
            "address_purpose": "LOCATION",
            "city": "Sun City",
            "state": "CA",
            "postal_code": "925862201",
            "country_code": "US",
            "telephone_number": "951-672-4971",
            "fax_number": "951-484-2455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JAEHOON LEE OPTOMETRY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-09",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JAEHOON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "617-233-4847",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloria Laura Jackson, DO
• John David Jacobson, M.D
• Jacome Medical Group
• Enrique G Jacome, MD
• Christina Melina Jaeger, FNP - BC
• Arsia Jamali
• James L Merson M.D., Inc
• Alice King Janik, L.M.F.T.
• Andrew Stephen Janik, M.D.
• Samih Jarjour, MD

• Optometrist in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.