1. Home
  2. Directory
  3. California
  4. Westminster
  5. Optometrist
  6. NPI Profile

KELLEE LEANGSOK TEA OD
NPI 1386807964
Optometrist - Low Vision Rehabilitation in Westminster, CA

Active since July 03, 2008PECOS Enrolled
14361 BEACH BLVD STE 201, WESTMINSTER, CA 92683(714) 684-1711(714) 684-1920 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kellee Leangsok Tea Od NPPES

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

KELLEE LEANGSOK TEA OD (NPI 1386807964) is an individual low vision rehabilitation provider in Westminster, California, licensed in California (13559TLG) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386807964
Entity TypeIndividualFemale
Primary Taxonomy152WL0500X
Provider Legal NameKELLEE LEANGSOK TEACredential: OD
Location Address14361 BEACH BLVD STE 201Westminster, CA 92683-8140
Mailing Address14361 Beach Blvd Ste 201Westminster, CA 92683-8140 · (714) 684-1711 · Fax (714) 775-7050
Phone(714) 684-1711
Fax(714) 684-1920
Sole ProprietorNo
Enumeration DateJuly 3, 2008
Last NPPES UpdateFebruary 4, 2022
NPPES CertifiedFebruary 4, 2022
✔ NPI 1386807964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometrist · Low Vision RehabilitationEye and Vision Services Providers
Taxonomy Code152WL0500X
License✔ Licensed in CA · 13559TLG
Definition
Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services.
Also ListedOptometristTaxonomy 152W00000X · License OEG002088 (PA)
14361 BEACH BLVD STE 201, Westminster, CA 92683
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kellee Leangsok Tea Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Kellee Tea reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Horizon Optometry Group, PC
Same address
Optometrist
14361 BEACH BLVD STE 201
Westminster, CA 92683
  • Reassigned Medicare billing, California enrollment
  • 3 clinicians in this Medicare group
NPI 1306430384 (714) 775-0019
Marshall B. Ketchum University
13 mi
Optometrist
5460 E LA PALMA AVE
Anaheim, CA 92807
  • Reassigned Medicare billing, California enrollment
  • 131 clinicians in this Medicare group
NPI 1720101876 (714) 463-7500

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92683 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 2

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

HORIZON OPTOMETRY GROUP, PC
Optometrist
14361 BEACH BLVD STE 201
WESTMINSTER, CA 92683
Orange County (714) 775-0019
HORIZON OPTOMETRY VISION CENTER, PC
Optometrist
14361 BEACH BLVD STE 201
WESTMINSTER, CA 92683
Orange County (714) 775-0019

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 Kellee Tea's NPI number?

The NPI number for Kellee Tea is 1386807964. It was assigned to this individual provider in the NPPES registry on July 3, 2008.

Where is Kellee Tea located?

Kellee Tea practices at 14361 Beach Blvd Ste 201, Westminster, CA 92683. The listed phone number is (714) 684-1711.

What is Kellee Tea's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Low Vision Rehabilitation, with taxonomy code 152WL0500X.

Is Kellee Tea enrolled in Medicare?

Yes. Kellee Tea is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kellee Tea's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kellee Tea reassigns Medicare benefits to 2 organizations: Horizon Optometry Group, PC (Westminster, CA) and Marshall B. Ketchum University (Anaheim, CA). Each 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 Kellee Tea's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kellee Tea accept?

Health plans from Providence Health Plan list Kellee Tea 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 Kellee Tea was last updated on February 4, 2022. 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.