DR. SAM LEE (OD) – Optometrist, NPI 1922779404
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,909 OPTOMETRY in CA
Provider Addresses for DR. SAM LEE (OD)
3100 SAN PABLO AVE FL 4
BERKELEY, CA 947022498
Phone: (415) 353-8299
Type: Location
230 MINOR HALL MC-2020
BERKELEY, CA 947200001
Phone: (510) 642-2020
Type: Location
230 Minor Hall Mc-2020
Berkeley, CA 947200001
Phone: (510) 642-2020
Type: Location
17806 SYCAMORE AVE
PATTERSON, CA 953639336
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 36 Open Payments records for all available years, with a total value of $7,317.
Total Amount is formed as General ($7,317) + Research ($0) + Ownership ($0) = $7,317.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: CooperVision Inc. ($4,122).
Total Amount
$7,317
General + Research + Ownership
Payments
36
Total payment records
General Amount
$7,317
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CooperVision Inc. | $4,122 |
| Dompe US, Inc. | $2,168 |
| Johnson & Johnson Vision Care, Inc. | $448 |
| Alcon Vision LLC | $432 |
| AIMMUNE THERAPEUTICS, INC. | $125 |
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: 2021-10-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20211027003257 | I | Optometry | CA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 94702)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | CA | |
| O P T O M E T R Y | MA | |
| O P T O M E T R Y | CA | |
| O P T O M E T R Y | CA | |
| O P T O M E T R Y | CA | |
| O P T O M E T R Y | CA | |
| O P T O M E T R Y | CA | |
| O P T O M E T R Y | CA | |
| O P T O M E T R Y | CA | |
| O P T O M E T R Y | CA |
Reviews
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