SUPERVISION OPTOMETRY INC
NPI 1194998443
Optometrist in West Covina, CA

Q: What is Supervision Optometry Inc's NPI number?

The NPI number for Supervision Optometry Inc is 1194998443. It was assigned to this organization in the NPPES registry on April 8, 2008.

Q: What is Supervision Optometry Inc's specialty?

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

Active since April 08, 2008

1200 S SUNSET AVE, SUITE #1, WEST COVINA, CA 91790(626) 962-2839(626) 962-1819 Get Directions Write a Review

NPPES record last updated: April 8, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Supervision Optometry Inc NPPES

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

SUPERVISION OPTOMETRY INC (NPI 1194998443) is a healthcare organization registered as an optometrist in West Covina, California and active in the NPI registry since April 2008. The organization lists Chieh Ju Lee, President, as its authorized official.

NPPES Registry Identity

NPI1194998443

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameSUPERVISION OPTOMETRY INC

Location Address1200 S SUNSET AVE, SUITE #1West Covina, CA 91790-3903

Mailing Address1200 S Sunset Ave, Suite #1West Covina, CA 91790-3903 · (626) 962-2839 · Fax (626) 962-1819

Phone(626) 962-2839

Fax(626) 962-1819

Organization SubpartNo

Authorized OfficialChieh Ju LeePresident · (626) 962-2839

Enumeration DateApril 8, 2008

✔ NPI 1194998443 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 · CA13182T

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.

1200 S SUNSET AVE, West Covina, CA 91790

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Other Identifiers 3

Medicare UPINV10759CA

Medicare PIN0P13182CA

MedicaidSD0131820CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Supervision Optometry Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateCaliforniaEnrollment IDO20140317000480Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Supervision Optometry Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Chieh Ju Lee, O.D.

Optometry

NPI 1477654408

1200 S SUNSET AVE SUITE #1
West Covina, CA 91790

(626) 962-2839

✔ PECOSSame address

Chieh-Li Lee, O.D.

Optometry

NPI 1477862803

1200 S SUNSET AVE STE. 1
West Covina, CA 91790

(626) 962-2839

✔ PECOSSame 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 Supervision Optometry Inc's NPI number?

The NPI number for Supervision Optometry Inc is 1194998443. It was assigned to this organization in the NPPES registry on April 8, 2008.

Where is Supervision Optometry Inc located?

Supervision Optometry Inc is located at 1200 S Sunset Ave Suite #1, West Covina, CA 91790. The listed phone number is (626) 962-2839.

What is Supervision Optometry Inc's specialty?

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

Is Supervision Optometry Inc enrolled in Medicare?

Yes. Supervision Optometry Inc is registered in the Medicare PECOS enrollment system.

When is Supervision Optometry Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Supervision Optometry Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Supervision Optometry Inc. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Supervision Optometry Inc accept?

Health plans from Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana list Supervision Optometry Inc 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 Supervision Optometry Inc was last updated on April 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.