SOO JUNG LEE (OD) – Optometrist, NPI 1083348338

SOO JUNG LEE (OD) is a healthcare provider. based in Duluth, Georgia. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPT003445 (GA). The NPI Number for SOO JUNG LEE (OD) is 1083348338

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
SOO JUNG LEE (OD)
NPI
1083348338
Phone
(404) 918-3022
Address
2226 DANDRIDGE DR
Enumeration Date
12 July 2022
Last Update Date
14 July 2022

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
4042561507
Graduation Year
2022 (4 years ago)
PAC ID
5698151470
Group Practice PAC ID
2567455868
Professional Enrollment ID
I20220930002743
Address ID
GA303284411SA5995XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

959 OPTOMETRY in GA

Provider Addresses for SOO JUNG LEE (OD)

  • 2226 DANDRIDGE DR

    DULUTH, GA 300967185

    Phone: (404) 918-3022

    Type: Mailing

  • 1100 JOHNSON FY RD NE BLDG 1

    ATLANTA, GA 303421709

    Phone: (404) 531-9988

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 40 Open Payments records for all available years, with a total value of $3,052.

Total Amount is formed as General ($3,052) + Research ($0) + Ownership ($0) = $3,052.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($1,470).

Total Amount

$3,052

General + Research + Ownership

Payments

40

Total payment records

General Amount

$3,052

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2022-09-30

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
I20220930002743IOptometryGATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30096)

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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: 2567455868View full group profile
NameSpecialtyState
O P T O M E T R YGA
O P H T H A L M O L O G YGA
O P T O M E T R YGA
O P T O M E T R YWA
O P T O M E T R YGA
O P T O M E T R YGA
O P T O M E T R YGA
O P H T H A L M O L O G YGA
O P T O M E T R YGA
O P H T H A L M O L O G YGA

Reviews

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Frequently asked questions

Is SOO JUNG LEE (OD) listed with a National Provider Identifier?
Yes — SOO JUNG LEE (OD) has NPI 1083348338 on file in the registry.
Active or inactive — what applies to SOO JUNG LEE (OD)?
You should see SOO JUNG LEE (OD) as active in CMS-hosted NPPES data.
How would a patient describe SOO JUNG LEE (OD)'s focus?
For SOO JUNG LEE (OD), the primary taxonomy reads as Optometrist. Clinical services aligned with this taxonomy classification.
Is SOO JUNG LEE (OD) located near Duluth?
SOO JUNG LEE (OD) currently maps to Duluth, Georgia in this extract.
Can I trust this NPI listing for SOO JUNG LEE (OD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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