DR. JOHN PATRICK LEE (O.D.) – Optometrist, NPI 1063517399

DR. JOHN PATRICK LEE (O.D.) is a healthcare provider. based in Prescott, Wisconsin. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 2763-035 (WI). The NPI Number for DR. JOHN PATRICK LEE (O.D.) is 1063517399

Main info

Male
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN PATRICK LEE (O.D.)
NPI
1063517399
Phone
(715) 262-1112
Address
110 BROAD ST N
Enumeration Date
13 September 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
7154257235
Graduation Year
1999 (27 years ago)
PAC ID
9032183884
Group Practice PAC ID
9739280819
Professional Enrollment ID
I20040825001592
Address ID
WI540223502RI711XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

798 OPTOMETRY in WI

Loading map...

Provider Addresses for DR. JOHN PATRICK LEE (O.D.)

  • Broad Street, Prescott, Pierce County, Wisconsin, 54021, United States

    PRESCOTT, WI 540211702

    Phone: (715) 262-1112

    Fax: (715) 262-1112

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-08-25

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
I20040825001592IOptometryWITBD

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
66984Removal of cataract with insertion of prosthetic lens2,13215$0
92014Established patient complete exam of visual system155155$0
99214Established patient office or other outpatient visit, 30-39 minutes8981$0
99213Established patient office or other outpatient visit, 20-29 minutes2723$0
92133Imaging of optic nerve1616$0
View full utilization report →

Insurance plans in this area (ZIP 54021)

Loading plans...

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: 9739280819View full group profile
NameSpecialtyState
O P T O M E T R YWI

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do I look up DR. JOHN PATRICK LEE (O.D.) by NPI?
Use NPI 1063517399 when you need to reference DR. JOHN PATRICK LEE (O.D.) in forms, claims, or directories.
Does this profile mean DR. JOHN PATRICK LEE (O.D.) is currently active?
Yes — DR. JOHN PATRICK LEE (O.D.) appears active in the national provider directory.
What kind of provider is DR. JOHN PATRICK LEE (O.D.)?
The page reflects Optometrist for DR. JOHN PATRICK LEE (O.D.). Clinical services aligned with this taxonomy classification.
Where is DR. JOHN PATRICK LEE (O.D.)'s primary listing?
We display Prescott, Wisconsin because that is what the record indicates for DR. JOHN PATRICK LEE (O.D.).
What if Prescott, Wisconsin seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.