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FORT LEE VISION
NPI 1003144833
Eyewear Supplier in Fort Lee, NJ

Active since December 07, 2009
2151 LEMOINE AVE, FORT LEE, NJ 07024(201) 346-9000(201) 346-9001 Get Directions Write a Review

NPPES record last updated: December 11, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Fort Lee Vision NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FORT LEE VISION (NPI 1003144833) is a healthcare organization registered as an eyewear supplier in Fort Lee, New Jersey and active in the NPI registry since December 2009. The organization lists Diane M. Kim, O.d./owner, as its authorized official.

NPPES Registry Identity

NPI1003144833
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameFORT LEE VISION LLC
Location Address2151 LEMOINE AVEFort Lee, NJ 07024-6041
Mailing Address2151 Lemoine AveFort Lee, NJ 07024-6041 · (201) 346-9000 · Fax (201) 346-9001
Phone(201) 346-9000
Fax(201) 346-9001
Organization SubpartNo
Authorized OfficialDiane M. KimO.d./owner · (201) 346-9000
Enumeration DateDecember 7, 2009
Last NPPES UpdateDecember 11, 2014
✔ NPI 1003144833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
License✔ Licensed in NJ · 27OA00602800
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
2151 LEMOINE AVE, Fort Lee, NJ 07024
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Other Names 1

Doing Business AsFort Lee Vision

Other Identifiers 3

Medicare PIN108537
Medicare UPINV01808
Medicaid0122874NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fort Lee Vision is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Fort Lee Vision, which bills Medicare for the services this clinician delivers.

Clinician (1)

Diane Kim, OD
Optometry
NPI 1710945589
2151 LEMOINE AVE.
Fort Lee, NJ 07024
(201) 346-9000
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fort Lee Vision LLC's NPI number?

The NPI number for Fort Lee Vision LLC is 1003144833. It was assigned to this organization in the NPPES registry on December 7, 2009. The provider is doing business as Fort Lee Vision.

Where is Fort Lee Vision LLC located?

Fort Lee Vision LLC is located at 2151 Lemoine Ave, Fort Lee, NJ 07024. The listed phone number is (201) 346-9000.

What is Fort Lee Vision LLC's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

Is Fort Lee Vision LLC enrolled in Medicare?

Yes. Fort Lee Vision LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fort Lee Vision LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Fort Lee Vision LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Fort Lee Vision LLC accept?

Health plans from Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana list Fort Lee Vision LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fort Lee Vision LLC was last updated on December 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.