DR. SAMUEL LEE AHN (O.D.) – Optometrist, NPI 1720163694
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,098 OPTOMETRY in WA
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Provider Addresses for DR. SAMUEL LEE AHN (O.D.)
1000, Northeast Park Drive, Grand Ridge Plaza, Issaquah Highlands, Issaquah, King County, Washington, 98029, United States
ISSAQUAH, WA 980297404
Phone: (425) 391-3222
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 45 Open Payments records for all available years, with a total value of $5,703.
Total Amount is formed as General ($5,703) + Research ($0) + Ownership ($0) = $5,703.
Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($2,444).
Total Amount
$5,703
General + Research + Ownership
Payments
45
Total payment records
General Amount
$5,703
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Johnson & Johnson Vision Care, Inc. | $2,444 |
| CooperVision Inc. | $2,409 |
| Lumenis BE inc | $705 |
| Sun Pharmaceutical Industries Inc. | $122 |
| Alcon Vision LLC | $23 |
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: 2017-04-20
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 |
|---|---|---|---|---|
| I20170420001975 | I | Optometry | WA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 19 | 16 | $0 |
Insurance plans in this area (ZIP 98029)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | WA |
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