JUNG LEE (OD) – Optometrist, NPI 1114501657

JUNG LEE (OD) is a healthcare provider. based in Vienna, Virginia. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 0618003036 (VA). The NPI Number for JUNG LEE (OD) is 1114501657

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
JUNG LEE (OD)
NPI
1114501657
Phone
(703) 847-8899
Address
8614 WESTWOOD CENTER DR FL 9
Enumeration Date
11 May 2021
Last Update Date
10 September 2024

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
7033992021
Graduation Year
2021 (5 years ago)
PAC ID
0749681005
Group Practice PAC ID
0143448456
Professional Enrollment ID
I20210624002434
Address ID
VA223141531AL915XXSTXX502
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,052 OPTOMETRY in VA

Provider Addresses for JUNG LEE (OD)

  • 8614 WESTWOOD CENTER DR FL 9

    VIENNA, VA 221822442

    Phone: (703) 847-8899

    Fax: (571) 223-6780

    Type: Mailing

  • 1950 OLD GALLOWS RD STE 520

    VIENNA, VA 221823970

    Phone: (703) 847-8899

    Fax: (571) 223-6780

    Type: Mailing

  • 915 N SAINT ASAPH ST STE 130

    ALEXANDRIA, VA 223141531

    Phone: (703) 399-2021

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 31 Open Payments records for all available years, with a total value of $2,632.

Total Amount is formed as General ($2,632) + Research ($0) + Ownership ($0) = $2,632.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Alcon Vision LLC ($2,525).

Total Amount

$2,632

General + Research + Ownership

Payments

31

Total payment records

General Amount

$2,632

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

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: 2022-05-06

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
I20210624002434IOptometryDCTBD
I20220506000044IOptometryVATBD

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 22182)

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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: 0143448456View full group profile

Reviews

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Frequently asked questions

Can I verify JUNG LEE (OD) with an NPI only?
You can start verification with NPI 1114501657 for JUNG LEE (OD), then check state licensing separately.
Can I rely on JUNG LEE (OD) being an active provider?
As of the registry snapshot, JUNG LEE (OD) is marked active.
What healthcare role does JUNG LEE (OD) hold?
Scheduling teams often label JUNG LEE (OD) under Optometrist. Clinical services aligned with this taxonomy classification.
What area does JUNG LEE (OD) serve?
JUNG LEE (OD)'s listing highlights Vienna, Virginia; more addresses can appear in NPPES.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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