DR. JOHN LEE (OD) – Optometrist, NPI 1134115116

DR. JOHN LEE (OD) is a healthcare provider. based in Kingston, Massachusetts. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 4502 (MA). The NPI Number for DR. JOHN LEE (OD) is 1134115116

Main info

Male
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN LEE (OD)
NPI
1134115116
Phone
(781) 585-1668
Address
101 INDEPENDENCE MALL WAY
Enumeration Date
23 September 2005
Last Update Date
10 February 2010

Doctor Profile

Medical School Name
NEW ENGLAND COLLEGE OF OPTOMETRY
Secondary Phone
7818268393
Graduation Year
2004 (22 years ago)
PAC ID
9032149786
Professional Enrollment ID
I20050812000848
Address ID
MA023391694HA1422XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,116 OPTOMETRY in MA

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Provider Addresses for DR. JOHN LEE (OD)

  • Maziply Toys, 101, Kingston Collection Way, Independence Mall, Kingston, Plymouth County, Massachusetts, 02364, United States

    C 104

    KINGSTON, MA 023643048

    Phone: (781) 585-1668

    Fax: (781) 582-3872

    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 3 Open Payments records for all available years, with a total value of $58.

Total Amount is formed as General ($58) + Research ($0) + Ownership ($0) = $58.

Last reported payment date: 2024-08-09 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($58).

Total Amount

$58

General + Research + Ownership

Payments

3

Total payment records

General Amount

$58

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-09

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: 2005-08-12

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
I20050812000848IOptometryMATBD

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
92014Established patient complete exam of visual system323318$0
92004New patient complete exam of visual system9696$0
99213Established patient office or other outpatient visit, 20-29 minutes9377$0
92250Photography of the retina1413$0
View full utilization report →

Insurance plans in this area (ZIP 02364)

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Reviews

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Frequently asked questions

Does DR. JOHN LEE (OD) have a public NPI I can cite?
Public records show DR. JOHN LEE (OD) under NPI 1134115116.
Should I treat DR. JOHN LEE (OD) as an active provider?
Patients and plans typically see DR. JOHN LEE (OD) as active in the national extract.
How should patients interpret DR. JOHN LEE (OD)'s specialty?
The extract shows Optometrist for DR. JOHN LEE (OD). Clinical services aligned with this taxonomy classification.
Is DR. JOHN LEE (OD) tied to Kingston, Massachusetts?
If you are local to Kingston, Massachusetts, DR. JOHN LEE (OD) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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