DR. CAROLINA KEYJUNG LEE (O.D.) – Optometrist, NPI 1023264314

DR. CAROLINA KEYJUNG LEE (O.D.) is a healthcare provider. based in Monroe, Washington. specializing in Optometrist. They hold the professional credentials O.D.. They hold a License No. 3545 (WA). The NPI Number for DR. CAROLINA KEYJUNG LEE (O.D.) is 1023264314

Main info

Female
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. CAROLINA KEYJUNG LEE (O.D.)
NPI
1023264314
Phone
(360) 805-9323
Address
18805 STATE ROUTE 2
Enumeration Date
18 August 2008
Last Update Date
3 August 2023

Doctor Profile

Medical School Name
NEW ENGLAND COLLEGE OF OPTOMETRY
Secondary Phone
3608059323
Graduation Year
1999 (27 years ago)
PAC ID
4587081948
Professional Enrollment ID
I20200814000694
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:17State licenses:2Digital endpointsOther names

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Provider Addresses for DR. CAROLINA KEYJUNG LEE (O.D.)

  • Monroe, Oakhurst, Charlotte, Mecklenburg County, North Carolina, 28105:28270, United States

    MONROE, WA 982721438

    Phone: (360) 805-9323

    Fax: (360) 805-0467

    Type: Location

  • 27785 SANTA MARGARITA PKWY STE 200

    MISSION VIEJO, CA 926916652

    Phone: (949) 670-0199

    Type: Location

  • 118 MEANDER

    IRVINE, CA 926207341

    Phone: (425) 698-9130

    Type: Mailing

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 $24.

Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.

Last reported payment date: 2023-08-16 • Largest payer in this snapshot: Alcon Vision LLC ($24).

Total Amount

$24

General + Research + Ownership

Payments

1

Total payment records

General Amount

$24

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-16

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alcon Vision LLC$24
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: 2024-05-13

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
I20240513002856IOptometryCATBD

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 98272)

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Reviews

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Frequently asked questions

Can I verify DR. CAROLINA KEYJUNG LEE (O.D.) with an NPI only?
You can start verification with NPI 1023264314 for DR. CAROLINA KEYJUNG LEE (O.D.), then check state licensing separately.
Is DR. CAROLINA KEYJUNG LEE (O.D.) listed as active for patients and plans?
The listing shows DR. CAROLINA KEYJUNG LEE (O.D.) as active in the NPI system.
What is DR. CAROLINA KEYJUNG LEE (O.D.)'s primary classification?
Optometrist is the headline specialty for DR. CAROLINA KEYJUNG LEE (O.D.) here. Clinical services aligned with this taxonomy classification.
Where is DR. CAROLINA KEYJUNG LEE (O.D.) based?
DR. CAROLINA KEYJUNG LEE (O.D.) is tied to Monroe, Washington in the data we show; additional addresses may exist on the full record.
Why does DR. CAROLINA KEYJUNG LEE (O.D.) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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