PALMER N LEE (O.D.) – Optometrist, NPI 1114019171

PALMER N LEE (O.D.) is a healthcare provider. based in Gold river, California. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 5895T (CA). The NPI Number for PALMER N LEE (O.D.) is 1114019171

Main info

Male
49 Years Of Experience
Accepts Medicare Assignment
Name
PALMER N LEE (O.D.)
NPI
1114019171
Phone
(916) 852-1800
Address
2200 SUNRISE BLVD
Enumeration Date
28 September 2006
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9166242020
Graduation Year
1977 (49 years ago)
PAC ID
9830168053
Group Practice PAC ID
4385613595
Professional Enrollment ID
I20040927000852
Address ID
CA956772687RO6809XBLVD402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,909 OPTOMETRY in CA

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Provider Addresses for PALMER N LEE (O.D.)

  • Sunrise Boulevard, Surfers Paradise, Gold Coast, Queensland, 4217, Australia

    SUITE 120

    GOLD RIVER, CA 956704374

    Phone: (916) 852-1800

    Fax: (916) 852-0231

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $1,218.

Total Amount is formed as General ($1,218) + Research ($0) + Ownership ($0) = $1,218.

Last reported payment date: 2024-11-15 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($281).

Total Amount

$1,218

General + Research + Ownership

Payments

21

Total payment records

General Amount

$1,218

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-09-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040927000852IOptometryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92250Photography of the retina6665$0
99213Established patient office or other outpatient visit, 20-29 minutes4138$0
99212Established patient office or other outpatient visit, 10-19 minutes2723$0
92014Established patient complete exam of visual system1414$0
99203New patient office or other outpatient visit, 30-44 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 95670)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385613595View full group profile
NameSpecialtyState
O P T O M E T R YCA
O P T O M E T R YIL
O P T O M E T R YCA
O P T O M E T R YCA
-CA
-CA
O P T O M E T R YTX
-CA
O P T O M E T R YCA
O P T O M E T R YCA

Reviews

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Frequently asked questions

Does PALMER N LEE (O.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — PALMER N LEE (O.D.) uses 1114019171.
Does CMS list PALMER N LEE (O.D.) as active?
Yes — PALMER N LEE (O.D.) is active in the NPI listing used on this page.
What taxonomy line describes PALMER N LEE (O.D.)?
For research purposes, treat PALMER N LEE (O.D.) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for PALMER N LEE (O.D.)?
PALMER N LEE (O.D.)'s geographic hint is Gold River, California in our summary view.
Is the information about PALMER N LEE (O.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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