DR. IVAN LEE (O.D.) – Optometrist, NPI 1154526358

DR. IVAN LEE (O.D.) is a healthcare provider. based in Edison, New Jersey. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 270A00556300 (NJ). The NPI Number for DR. IVAN LEE (O.D.) is 1154526358

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. IVAN LEE (O.D.)
NPI
1154526358
Phone
(908) 507-1368
Address
25 AGATHA DR
Enumeration Date
18 June 2007
Last Update Date
19 September 2007

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
6095815755
Graduation Year
1997 (29 years ago)
PAC ID
9638107097
Group Practice PAC ID
7719006469
Professional Enrollment ID
I20050728000095
Address ID
NJ086903703HA1777XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,048 OPTOMETRY in NJ

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Provider Addresses for DR. IVAN LEE (O.D.)

  • 25, Agatha Drive, New Durham, Piscataway Township, Edison, Middlesex County, New Jersey, 08817, United States

    EDISON, NJ 088172224

    Phone: (908) 507-1368

    Type: Mailing

  • 1777, Kuser Road, Hamilton Township, Mercer County, New Jersey, 08690, United States

    HAMILTON SQUARE, NJ 086903703

    Phone: (609) 581-5755

    Fax: (609) 581-7055

    Type: Location

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 $143.

Total Amount is formed as General ($143) + Research ($0) + Ownership ($0) = $143.

Last reported payment date: 2024-06-17 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($129).

Total Amount

$143

General + Research + Ownership

Payments

3

Total payment records

General Amount

$143

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-17

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: 2005-07-28

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
I20050728000095IOptometryNJTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes164121$0
92014Established patient complete exam of visual system120120$0
92250Photography of the retina7871$0
99214Established patient office or other outpatient visit, 30-39 minutes7769$0
92083Exam of visual field with extended testing5552$0
View full utilization report →

Insurance plans in this area (ZIP 08817)

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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: 7719006469View full group profile
NameSpecialtyState
O P T O M E T R YPA
O P T O M E T R YNJ
-NJ

Reviews

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Frequently asked questions

What is DR. IVAN LEE (O.D.)'s NPI number?
DR. IVAN LEE (O.D.)'s NPI is 1154526358 — the number used across U.S. healthcare to identify this provider.
Would DR. IVAN LEE (O.D.) appear as active to a payer?
You can treat DR. IVAN LEE (O.D.) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DR. IVAN LEE (O.D.)?
DR. IVAN LEE (O.D.)'s specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. IVAN LEE (O.D.)?
Directory geography for DR. IVAN LEE (O.D.) centers on Edison, New Jersey.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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