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JANNIE LEE OD
NPI 1609218163
Optometrist in Portland, OR

Active since July 25, 2013PECOS Enrolled
12000 SE 82ND AVE STE 1008, PORTLAND, OR 97086(503) 654-6217 Get Directions Write a Review

NPPES record last updated: July 25, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jannie Lee Od NPPES

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

JANNIE LEE OD (NPI 1609218163) is an individual optometrist in Portland, Oregon, licensed in California (14710) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS and is a graduate of University Of California - School Of Optometry (2013).

NPPES Registry Identity

NPI1609218163
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameJANNIE LEECredential: OD
Location Address12000 SE 82ND AVE STE 1008Portland, OR 97086-7729
Mailing Address12000 Se 82nd Ave Ste 1008Portland, OR 97086-7729 · (503) 654-6217
Phone(503) 654-6217
Sole ProprietorYes
Medical School CMSUniversity Of California - School Of OptometryGraduated 2013
Enumeration DateJuly 25, 2013
Last NPPES UpdateJuly 25, 2016
✔ NPI 1609218163 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 · 14710
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.
12000 SE 82ND AVE STE 1008, Portland, OR 97086
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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 Louisiana, Blue Cross and Blue Shield of Montana 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)

Jannie Lee Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496985350
PECOS Enrollment IDI20140724000136
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 Jannie Lee reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dr. Han Tran & Associates, P.C.
0.1 mi
Optometrist
12000 SE 82ND AVE, 2012
Happy Valley, OR 97086
  • Reassigned Medicare billing, Oregon enrollment
  • Medicare enrollment name: Dr Han Tran & Associates PC
  • 6 clinicians in this Medicare group
NPI 1396109039 (503) 652-1788
Jd Harris PC
11 mi
Optometrist
11020 SW BEAVERTON HILLSDALE HWY
Beaverton, OR 97005
  • Reassigned Medicare billing, Oregon enrollment
  • 4 clinicians in this Medicare group
NPI 1801076542 (503) 789-6720

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 97086 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.

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 Jannie Lee's NPI number?

The NPI number for Jannie Lee is 1609218163. It was assigned to this individual provider in the NPPES registry on July 25, 2013.

Where is Jannie Lee located?

Jannie Lee practices at 12000 SE 82nd Ave Ste 1008, Portland, OR 97086. The listed phone number is (503) 654-6217.

What is Jannie Lee's specialty?

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

Is Jannie Lee enrolled in Medicare?

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

Which organizations bill Medicare for Jannie Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jannie Lee reassigns Medicare benefits to 2 organizations: Dr. Han Tran & Associates, P.C. (Happy Valley, OR) and Jd Harris PC (Beaverton, 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 Jannie Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jannie Lee accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 5 other insurers list Jannie 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 Jannie Lee was last updated on July 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.