DR. SUSANNAH LEE O.D.
NPI 1558747576
Optometrist in Portland, OR

Q: What is Susannah Lee's NPI number?

The NPI number for Susannah Lee is 1558747576. It was assigned to this individual provider in the NPPES registry on July 31, 2015.

Q: What is Susannah Lee's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Susannah Lee was last updated on March 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since July 31, 2015PECOS Enrolled

339 NW 9TH AVE, PORTLAND, OR 97209(503) 219-0023(503) 219-0024 Get Directions Write a Review

NPPES record last updated: March 12, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Susannah Lee O.d. NPPES

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

DR. SUSANNAH LEE O.D. (NPI 1558747576) is an individual optometrist in Portland, Oregon, licensed in Oregon (3632AT) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and is a graduate of California University Of Science And Medicine (2015).

NPPES Registry Identity

NPI1558747576

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. SUSANNAH LEECredential: O.D.

Location Address339 NW 9TH AVEPortland, OR 97209

Mailing Address339 Nw 9th AvePortland, OR 97209-3306 · (503) 219-0023 · Fax (503) 219-0024

Phone(503) 219-0023

Fax(503) 219-0024

Sole ProprietorNo

Medical School CMSCalifornia University Of Science And MedicineGraduated 2015

Enumeration DateJuly 31, 2015

Last NPPES UpdateMarch 12, 2019

✔ NPI 1558747576 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 OR · 3632AT

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.

339 NW 9TH AVE, Portland, OR 97209

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Susannah Lee O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173884814

PECOS Enrollment IDI20180221000908, I20220608002462

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

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

The Eye Studio, PC

Same address

Optometrist

339 NW 9TH AVE
Portland, OR 97209

Reassigned Medicare billing, Oregon enrollment
3 clinicians in this Medicare group

NPI 1235458274 (503) 219-0023

Susannah Lee Eye Care

12 mi

Optometrist

5295 NE ELAM YOUNG PKWY STE 150
Hillsboro, OR 97124

Reassigned Medicare billing, Oregon enrollment

NPI 1093215949 (503) 547-8201

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 2

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.

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

115 services115 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

46 services45 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97209 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

$134.16 typical visit price

range $58.99 – $176.88

Typical copayment $33.54 (range $14.74 – $44.22)

Most-billed visit code 99204

Established Patient

$73.28 typical visit price

range $19.32 – $144.79

Typical copayment $18.32 (range $4.83 – $36.19)

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 4

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

DR. TINA PAI TSAI O.D.

Optometrist

339 NW 9TH AVE
PORTLAND, OR 97209

Multnomah County (503) 219-0023

THE EYE STUDIO, PC

Optometrist

339 NW 9TH AVE
PORTLAND, OR 97209

Multnomah County (503) 219-0023

DR. JUNE W CHENG OD

Optometrist

339 NW 9TH AVE
PORTLAND, OR 97209

Multnomah County (503) 219-0023

HELEN H. KIM O.D.

Optometrist

339 NW 9TH AVE
PORTLAND, OR 97209

Multnomah County (503) 219-0023

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 Susannah Lee's NPI number?

The NPI number for Susannah Lee is 1558747576. It was assigned to this individual provider in the NPPES registry on July 31, 2015.

Where is Susannah Lee located?

Susannah Lee practices at 339 NW 9th Ave, Portland, OR 97209. The listed phone number is (503) 219-0023.

What is Susannah Lee's specialty?

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

Is Susannah Lee enrolled in Medicare?

Yes. Susannah Lee is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Susannah Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susannah Lee reassigns Medicare benefits to 2 organizations: The Eye Studio, PC (Portland, OR) and Susannah Lee Eye Care (Hillsboro, OR). 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 Susannah Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susannah Lee accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BridgeSpan Health Company and 4 other insurers list Susannah Lee 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 Susannah Lee was last updated on March 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.