DR. JUNG H. LEE O.D.
NPI 1417055344
Optometrist in National City, CA
About Dr. Jung H. Lee O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JUNG H. LEE O.D. (NPI 1417055344) is an individual optometrist in National City, California, licensed in California (OPT13238TPA) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of State University Of New York - State College Optometry (2004).
NPPES Registry Identity
Specialties & Licenses
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. Jung H. 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 Jung Lee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92108
- Reassigned Medicare billing, California enrollment
- 13,921 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91950 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
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 Jung Lee's NPI number?
The NPI number for Jung Lee is 1417055344. It was assigned to this individual provider in the NPPES registry on September 21, 2006.
Where is Jung Lee located?
Jung Lee practices at 3030 Plaza Bonita Rd #2270, National City, CA 91950. The listed phone number is (619) 267-8500.
What is Jung Lee's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Jung Lee enrolled in Medicare?
Yes. Jung 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 Jung Lee's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jung Lee reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, 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 Jung 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 Jung Lee was last updated on October 23, 2021. 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.
# Dr. Jung H. Lee, O.D. · NPI 1417055344
Optometrist provider in National City, California. Individual provider, active in the CMS NPPES registry since September 21, 2006.
## Identity
- **NPI:** 1417055344 (Entity type: Individual)
- **Enumerated:** September 21, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** OPT13238TPA (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3030 PLAZA BONITA RD, #2270, National City, CA 91950-8009
- **Phone:** (619) 267-8500
## 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 Permanente Medical Group (NPI 1023425972, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York - State College Optometry, class of 2004
## Record status
- **NPPES last updated:** October 23, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1417055344) · Data from the CMS NPPES public registry.