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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JASON KANG LEE
NPI 1255919031
Optometrist in Ontario, CA

Active since April 01, 2021PECOS EnrolledAccepts Medicare Assignment
3155 SEDONA CT STE 100, ONTARIO, CA 91764(909) 698-9780(909) 974-0356 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 3, 2026, Aug 16, 2022, Apr 1, 2021 (3 updates tracked since 2021).

About Jason Kang Lee NPPES

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

JASON KANG LEE (NPI 1255919031) is an individual optometrist in Ontario, California, licensed in California (34847) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (2021).

NPPES Registry Identity

NPI1255919031
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJASON KANG LEE
Location Address3155 SEDONA CT STE 100Ontario, CA 91764-6558
Mailing Address75 Enterprise Ste 200Aliso Viejo, CA 92656-2626 · (949) 688-6205 · Fax (949) 688-6205
Phone(909) 698-9780
Fax(909) 974-0356
Sole ProprietorYes
Medical School CMSSouthern California College Of OptometryGraduated 2021
Enumeration DateApril 1, 2021
Last NPPES UpdateAugust 3, 20263 updates tracked since enumeration
NPPES CertifiedAugust 3, 2026
✔ NPI 1255919031 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 · 34847
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.
3155 SEDONA CT STE 100, Ontario, CA 91764
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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

Jason Kang Lee 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 ID9931583671
PECOS Enrollment IDI20220830003232
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 91764 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.

NASIEM ADNAN UMBERG OD
Optometrist
3155 SEDONA CT STE 100
ONTARIO, CA 91764
San Bernardino County (096) 989-7809

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 Jason Lee's NPI number?

The NPI number for Jason Lee is 1255919031. It was assigned to this individual provider in the NPPES registry on April 1, 2021.

Where is Jason Lee located?

Jason Lee practices at 3155 Sedona Ct Ste 100, Ontario, CA 91764. The listed phone number is (909) 698-9780.

What is Jason Lee's specialty?

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

Is Jason Lee enrolled in Medicare?

Yes. Jason 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.

When was this NPI record last updated?

The NPPES record for Jason Lee was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.