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DR. JANE H LEE-KOIDA O.D.
NPI 1114064367
Optometrist in Santa Rosa, CA

Active since January 30, 2007PECOS EnrolledAccepts Medicare Assignment
3925 OLD REDWOOD HWY, SANTA ROSA, CA 95403(707) 566-5342(707) 566-5220 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jane H Lee-koida O.d. NPPES

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

DR. JANE H LEE-KOIDA O.D. (NPI 1114064367) is an individual optometrist in Santa Rosa, California, licensed in California (11311T) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (1999).

NPPES Registry Identity

NPI1114064367
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. JANE H LEE-KOIDACredential: O.D.
Location Address3925 OLD REDWOOD HWYSanta Rosa, CA 95403-1719
Mailing Address3925 Old Redwood HwySanta Rosa, CA 95403-1719 · (707) 566-5342 · Fax (707) 566-5220
Phone(707) 566-5342
Fax(707) 566-5220
Sole ProprietorNo
Medical School CMSNew England College Of OptometryGraduated 1999
Enumeration DateJanuary 30, 2007
Last NPPES UpdateDecember 30, 2021
✔ NPI 1114064367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · 11311T
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
3925 OLD REDWOOD HWY, Santa Rosa, CA 95403
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jane H Lee-koida O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163673534
PECOS Enrollment IDI20121112000367
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.00 typical visit price
range $63.04 – $187.01
Typical copayment $35.50 (range $15.76 – $46.75)
Most-billed visit code 99204
Established Patient
$77.94 typical visit price
range $21.02 – $153.40
Typical copayment $19.48 (range $5.25 – $38.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LUCILLE HESTER BRONGERSMA O.D.
Optometrist
3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403
Sonoma County (707) 566-5297
CRISTINA PAPPAS SILVERBERG
Speech-Language Pathologist
3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403
Sonoma County (205) 247-2389
DR. JEFF MILLER MD
Pediatrics
3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403
Sonoma County (707) 566-5312
MS. GAIL PROSSER RD, CDE
Dietitian, Registered (Nutrition, Pediatric)
3925 OLD REDWOOD HWY, DEPT OF PEDIATRICS
SANTA ROSA, CA 95403
Sonoma County (707) 566-5358
DR. CHRISTINE W KU M.D.
Specialist
3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403
Sonoma County (707) 566-5452
MS. ANGELA BIZZARRI PFLUGRATH DO
Pediatrics
3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403
Sonoma County (707) 393-4033
ELIZABETH NGUYEN TRAN OD
Optometrist
3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403
Sonoma County (707) 566-5974
TAI MINH PHAM MD/MPH
Pediatrics
3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403
Sonoma County (707) 657-9260

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 Jane Lee-koida's NPI number?

The NPI number for Jane Lee-koida is 1114064367. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is Jane Lee-koida located?

Jane Lee-koida practices at 3925 Old Redwood Hwy, Santa Rosa, CA 95403. The listed phone number is (707) 566-5342.

What is Jane Lee-koida's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Jane Lee-koida enrolled in Medicare?

Yes. Jane Lee-koida is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jane Lee-koida was last updated on December 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.