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DR. JAEHOON LEE O.D.
NPI 1174648687
Optometrist in Apple Valley, CA

Active since March 21, 2007PECOS EnrolledAccepts Medicare Assignment
19179 BEAR VALLEY RD, #10, APPLE VALLEY, CA 92308(760) 240-9679(760) 247-0076 Get Directions Write a Review

NPPES record last updated: September 15, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jaehoon Lee O.d. NPPES

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

DR. JAEHOON LEE O.D. (NPI 1174648687) is an individual optometrist in Apple Valley, California, licensed in California (12239T) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (2001).

NPPES Registry Identity

NPI1174648687
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JAEHOON LEECredential: O.D.
Location Address19179 BEAR VALLEY RD, #10Apple Valley, CA 92308-2724
Mailing Address19179 Bear Valley Rd, #10Apple Valley, CA 92308-2724 · (760) 240-9679 · Fax (760) 247-0076
Phone(760) 240-9679
Fax(760) 247-0076
Sole ProprietorYes
Medical School CMSNew England College Of OptometryGraduated 2001
Enumeration DateMarch 21, 2007
Last NPPES UpdateSeptember 15, 2014
✔ NPI 1174648687 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 · 12239T
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.
19179 BEAR VALLEY RD, Apple Valley, CA 92308
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jaehoon Lee 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 ID3274526280
PECOS Enrollment IDI20040406000649
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.

Medicare Billing Reassignment

Medicare enrollment records show Jaehoon Lee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jaehoon Lee Optometry Corp
70 mi
Optometrist
71956 MAGNESIA FALLS DR
Rancho Mirage, CA 92270
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
NPI 1891347076 (760) 674-8806

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

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
79 services79 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
66 services65 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
51 services39 patients
Closure of tear duct opening using plug 68761
Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.
46 services12 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
15 services14 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92308 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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

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

JAEHOON LEE, OD, INC.,
Optometrist
19179 BEAR VALLEY RD, SUITE 10
APPLE VALLEY, CA 92308
San Bernardino County (760) 240-9679

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 Jaehoon Lee's NPI number?

The NPI number for Jaehoon Lee is 1174648687. It was assigned to this individual provider in the NPPES registry on March 21, 2007.

Where is Jaehoon Lee located?

Jaehoon Lee practices at 19179 Bear Valley Rd #10, Apple Valley, CA 92308. The listed phone number is (760) 240-9679.

What is Jaehoon Lee's specialty?

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

Is Jaehoon Lee enrolled in Medicare?

Yes. Jaehoon Lee 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.

Which organization bills Medicare for Jaehoon Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jaehoon Lee reassigns Medicare benefits to Jaehoon Lee Optometry Corp (Rancho Mirage, CA). The 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 Jaehoon Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jaehoon Lee accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 1 other insurer list Jaehoon Lee 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 Jaehoon Lee was last updated on September 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.