DR. KENNY BENJAMIN LEE (O.D) – Optometrist, NPI 1619905866
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
672 OPTOMETRY in OR
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Provider Addresses for DR. KENNY BENJAMIN LEE (O.D)
17184, Southwest Artesian Drive, Elmonica, Five Oaks/Triple Creek, Beaverton, Washington County, Oregon, 97006, United States
BEAVERTON, OR 970064990
Phone: (503) 533-8441
Fax: (503) 533-8403
Type: Mailing
1865, Northwest 169th Place, Twin Oaks Business Park, Five Oaks/Triple Creek, Beaverton, Washington County, Oregon, 97006, United States
SUITE 105
BEAVERTON, OR 970067327
Phone: (503) 533-8441
Fax: (503) 533-8403
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $50.
Total Amount is formed as General ($50) + Research ($0) + Ownership ($0) = $50.
Last reported payment date: 2024-02-21 • Largest payer in this snapshot: Optos, Inc. ($50).
Total Amount
$50
General + Research + Ownership
Payments
1
Total payment records
General Amount
$50
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Optos, Inc. | $50 |
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: 2005-10-11
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 |
|---|---|---|---|---|
| I20051011000911 | I | Optometry | OR | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 90 | 50 | $0 |
| 92250 | Photography of the retina | 30 | 29 | $0 |
| 92133 | Imaging of optic nerve | 17 | 13 | $0 |
| 92083 | Exam of visual field with extended testing | 12 | 12 | $0 |
Insurance plans in this area (ZIP 97006)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | OR | |
| O P T O M E T R Y | OR | |
| O P T O M E T R Y | OR | |
| O P T O M E T R Y | OR | |
| O P T O M E T R Y | OR |
Reviews
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