DR. SOO MI LEE O. D.
NPI 1376660555
Optometrist in Fullerton, CA
About Dr. Soo Mi Lee O. D. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SOO MI LEE O. D. (NPI 1376660555) is an individual optometrist in Fullerton, California, licensed in California (CA12607T) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (2004).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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. Soo Mi 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.
Medicare Billing Reassignment
Medicare enrollment records show Soo Mi Lee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Orange, CA 92865
- Reassigned Medicare billing, California enrollment
- 8 clinicians in this Medicare group
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 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92833 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Soo Mi Lee's NPI number?
The NPI number for Soo Mi Lee is 1376660555. It was assigned to this individual provider in the NPPES registry on March 23, 2007. The provider is also known as Dr. Soo Lee O. D..
Where is Soo Mi Lee located?
Soo Mi Lee practices at 1839 W Orangethorpe Ave, Fullerton, CA 92833. The listed phone number is (714) 879-2020.
What is Soo Mi Lee's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Soo Mi Lee enrolled in Medicare?
Yes. Soo Mi 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 Soo Mi Lee's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Soo Mi Lee reassigns Medicare benefits to Southern California Eye Consultants Inc. (Orange, 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 Soo Mi Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Soo Mi Lee was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Dr. Soo Mi Lee, O. D. · NPI 1376660555
Optometrist provider in Fullerton, California. Individual provider, active in the CMS NPPES registry since March 23, 2007.
## Identity
- **NPI:** 1376660555 (Entity type: Individual)
- **Enumerated:** March 23, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** CA12607T (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1839 W ORANGETHORPE AVE, Fullerton, CA 92833-4405
- **Phone:** (714) 879-2020 · **Fax:** (714) 525-7138
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Southern California Eye Consultants Inc. (NPI 1225467038, Orange, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Southern California College Of Optometry, class of 2004
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1376660555) · Data from the CMS NPPES public registry.