CAMELLIA LEE (OD) – Optometrist, NPI 1518697838

CAMELLIA LEE (OD) is a healthcare provider. based in Boston, Massachusetts. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 35410 (CA). The NPI Number for CAMELLIA LEE (OD) is 1518697838

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
CAMELLIA LEE (OD)
NPI
1518697838
Phone
(617) 262-2020
Address
930 Commonwealth Ave
Enumeration Date
10 June 2022
Last Update Date
24 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5102689600
Graduation Year
2022 (4 years ago)
PAC ID
6608243548
Group Practice PAC ID
5890744544
Professional Enrollment ID
I20230803003371
Address ID
CA946074290OA388XXSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

1,116 OPTOMETRY in MA

Provider Addresses for CAMELLIA LEE (OD)

  • 930 Commonwealth Ave

    Boston, MA 022151274

    Phone: (617) 262-2020

    Type: Location

  • 34420 Fremont Blvd Ste E

    Fremont, CA 945553323

    Phone: (510) 796-9600

    Type: Location

  • 2709 Stoneridge Dr Ste 112

    Pleasanton, CA 945888358

    Phone: (925) 462-1100

    Type: Location

  • 175 FREEMAN ST APT 309

    BROOKLINE, MA 024463565

    Phone:

    Type: Mailing

  • 930 COMMONWEALTH AVE

    BOSTON, MA 022151274

    Phone: (617) 262-2020

    Type: Location

  • 670 MCCORMICK ST

    SAN LEANDRO, CA 945771110

    Phone:

    Type: Mailing

  • 388 9TH ST STE 157

    OAKLAND, CA 946074290

    Phone: (510) 268-9600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $6,980.

Total Amount is formed as General ($6,980) + Research ($0) + Ownership ($0) = $6,980.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: CooperVision Inc. ($2,871).

Total Amount

$6,980

General + Research + Ownership

Payments

23

Total payment records

General Amount

$6,980

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2023-08-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20221104001497IOptometryMATBD
I20230803003371IOptometryCATBD

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 02215)

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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: 5890744544View full group profile
NameSpecialtyState
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 unique ID ties claims to CAMELLIA LEE (OD)?
NPI 1518697838 is assigned to CAMELLIA LEE (OD) under the national enumeration system.
Is CAMELLIA LEE (OD) currently active in the NPI registry?
CMS-published data lists CAMELLIA LEE (OD) as an active registrant.
Does CAMELLIA LEE (OD) list a primary specialty?
If you are matching referrals, note Optometrist for CAMELLIA LEE (OD). Clinical services aligned with this taxonomy classification.
Where does public data place CAMELLIA LEE (OD)?
The snapshot lists Boston, Massachusetts for CAMELLIA LEE (OD); download NPPES for the complete set.
How can I contact CAMELLIA LEE (OD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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