DR. COLLIN KENWIN LEE (O.D.) – Optometrist, NPI 1376975235

DR. COLLIN KENWIN LEE (O.D.) is a healthcare provider. based in San jose, California. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 14648 (CA). The NPI Number for DR. COLLIN KENWIN LEE (O.D.) is 1376975235

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. COLLIN KENWIN LEE (O.D.)
NPI
1376975235
Phone
(408) 274-9090
Address
2690 S White Rd
Enumeration Date
2 August 2013
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Secondary Phone
408263204015
Graduation Year
2013 (13 years ago)
PAC ID
2466680467
Group Practice PAC ID
6406013143
Professional Enrollment ID
I20140121001851
Address ID
CA950355543MI1301XBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

3,935 OPTOMETRY in CA

Provider Addresses for DR. COLLIN KENWIN LEE (O.D.)

  • 2690 S White Rd

    Suite 255

    San Jose, CA 951482076

    Phone: (408) 274-9090

    Fax: (408) 274-9120

    Type: Location

  • 1301 E CALAVERAS BLVD

    MILPITAS, CA 950355543

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $646.

Total Amount is formed as General ($646) + Research ($0) + Ownership ($0) = $646.

Last reported payment date: 2024-09-18 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($436).

Total Amount

$646

General + Research + Ownership

Payments

19

Total payment records

General Amount

$646

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-18

Latest reported date

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: 2014-01-21

PECOS data refreshed: 2026-06-15

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
I20140121001851IOptometryCATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes4030$0
92250Photography of the retina2323$0
View full utilization report →

Insurance plans in this area (ZIP 95148)

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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: 6406013143View full group profile
NameSpecialtyState
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA
-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

What identifier follows DR. COLLIN KENWIN LEE (O.D.) across health systems?
The NPI 1376975235 uniquely identifies DR. COLLIN KENWIN LEE (O.D.) in U.S. healthcare data.
Quick check: is DR. COLLIN KENWIN LEE (O.D.) active?
Public NPPES data shows DR. COLLIN KENWIN LEE (O.D.) with an active NPI status right now.
What services align with DR. COLLIN KENWIN LEE (O.D.)'s listing?
DR. COLLIN KENWIN LEE (O.D.)'s public classification highlights Optometrist. Clinical services aligned with this taxonomy classification.
Can patients visit DR. COLLIN KENWIN LEE (O.D.) in San Jose, California?
For routing, start with San Jose, California for DR. COLLIN KENWIN LEE (O.D.), then verify phone and hours locally.
Can I export DR. COLLIN KENWIN LEE (O.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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