JI HYUN LEE (O.D.) – Optometrist, NPI 1679851752

JI HYUN LEE (O.D.) is a healthcare provider. based in Beaverton, Oregon. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 3508 (OR). The NPI Number for JI HYUN LEE (O.D.) is 1679851752

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
JI HYUN LEE (O.D.)
NPI
1679851752
Phone
(503) 533-8441
Address
1865 NW 169TH PL STE 105
Enumeration Date
24 July 2011
Last Update Date
5 February 2015

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
5035338441
Graduation Year
2012 (14 years ago)
PAC ID
8628202926
Group Practice PAC ID
3678624301
Professional Enrollment ID
I20130927000231
Address ID
OR970067310BE1865XPLXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:14State licenses:2Digital endpointsOther names

672 OPTOMETRY in OR

Provider Addresses for JI HYUN LEE (O.D.)

  • 1865 NW 169TH PL STE 105

    BEAVERTON, OR 970067310

    Phone: (503) 533-8441

    Fax: (503) 533-8403

    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 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2024-04-18 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-18

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: 2013-09-27

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
I20130927000231IOptometryORTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes4230$0
92250Photography of the retina1414$0
View full utilization report →

Insurance plans in this area (ZIP 97006)

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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: 3678624301View full group profile
NameSpecialtyState
O P T O M E T R YOR
O P T O M E T R YOR
O P T O M E T R YOR
O P T O M E T R YOR
O P T O M E T R YOR

Reviews

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Frequently asked questions

What is JI HYUN LEE (O.D.)'s NPI number?
JI HYUN LEE (O.D.)'s NPI is 1679851752 — the number used across U.S. healthcare to identify this provider.
Is JI HYUN LEE (O.D.) still an active registrant?
JI HYUN LEE (O.D.) carries an active NPI according to the public dataset.
What area of care is associated with JI HYUN LEE (O.D.)?
JI HYUN LEE (O.D.)'s record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with JI HYUN LEE (O.D.)?
Directory geography for JI HYUN LEE (O.D.) centers on Beaverton, Oregon.
Can I trust this NPI listing for JI HYUN LEE (O.D.)?
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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