DR. EDWARD SEUNGHO LEE (O.D.) – Optometrist, NPI 1083616288

DR. EDWARD SEUNGHO LEE (O.D.) is a healthcare provider. based in Federal way, Washington. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. WA2011 (WA). The NPI Number for DR. EDWARD SEUNGHO LEE (O.D.) is 1083616288

Main info

Male
Sole Proprietor
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. EDWARD SEUNGHO LEE (O.D.)
NPI
1083616288
Phone
(253) 839-0600
Address
32020 32ND AVE S
Enumeration Date
1 June 2005
Last Update Date
10 April 2015

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
2538390600
Graduation Year
1991 (35 years ago)
PAC ID
4789601113
Professional Enrollment ID
I20051025001054
Address ID
WA980019349FE32020SXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

1,098 OPTOMETRY in WA

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Provider Addresses for DR. EDWARD SEUNGHO LEE (O.D.)

  • 32020, 32nd Avenue South, Federal Way, King County, Washington, 98001, United States

    STE 130

    FEDERAL WAY, WA 980019625

    Phone: (253) 839-0600

    Fax: (253) 941-7485

    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 2 Open Payments records for all available years, with a total value of $46.

Total Amount is formed as General ($46) + Research ($0) + Ownership ($0) = $46.

Last reported payment date: 2023-05-10 • Largest payer in this snapshot: TREACE MEDICAL CONCEPTS, INC. ($46).

Total Amount

$46

General + Research + Ownership

Payments

2

Total payment records

General Amount

$46

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-10

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2005-10-25

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
I20051025001054IOptometryWATBD

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 98001)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. EDWARD SEUNGHO LEE (O.D.)?
DR. EDWARD SEUNGHO LEE (O.D.) — NPI 1083616288 — is the standard way to identify this listing.
Does CMS list DR. EDWARD SEUNGHO LEE (O.D.) as active?
Yes — DR. EDWARD SEUNGHO LEE (O.D.) is active in the NPI listing used on this page.
What is DR. EDWARD SEUNGHO LEE (O.D.)'s primary classification?
Optometrist is the headline specialty for DR. EDWARD SEUNGHO LEE (O.D.) here. Clinical services aligned with this taxonomy classification.
What area does DR. EDWARD SEUNGHO LEE (O.D.) serve?
DR. EDWARD SEUNGHO LEE (O.D.)'s listing highlights Federal Way, Washington; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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