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DR. KENNY BENJAMIN LEE O.D
NPI 1619905866
Optometrist in Beaverton, OR

Active since June 28, 2006PECOS EnrolledAccepts Medicare Assignment
1865 NW 169TH PL, SUITE 105, BEAVERTON, OR 97006(503) 533-8441(503) 533-8403 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kenny Benjamin Lee O.d NPPES

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

DR. KENNY BENJAMIN LEE O.D (NPI 1619905866) is an individual optometrist in Beaverton, Oregon, licensed in Oregon (2878AT) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2002).

NPPES Registry Identity

NPI1619905866
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. KENNY BENJAMIN LEECredential: O.D
Location Address1865 NW 169TH PL, SUITE 105Beaverton, OR 97006-7327
Mailing Address17184 Sw Artesian DrBeaverton, OR 97006-4990 · (503) 533-8441 · Fax (503) 533-8403
Phone(503) 533-8441
Fax(503) 533-8403
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 2002
Enumeration DateJune 28, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1619905866 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 · 2878AT
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.
1865 NW 169TH PL, Beaverton, OR 97006
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Other Identifiers 3

Medicaid181436OR
Medicare UPINU91181OR
Medicare ID-Type UnspecifiedR113798OR

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kenny Benjamin 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.

PECOS PAC ID6608862016
PECOS Enrollment IDI20051011000911
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.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
73 services41 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
30 services26 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
23 services17 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
16 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97006 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 7

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

DR. DAVID M PANZER D.C.
Chiropractor
1865 NW 169TH PL, SUITE 100
BEAVERTON, OR 97006
Washington County (503) 614-8300
SUNSET EYE CLINIC LLC
Optometrist
1865 NW 169TH PL, SUITE 105
BEAVERTON, OR 97006
Washington County (503) 533-8441
DONNA CHRISTINE WICHER PH.D.
Psychologist (Clinical)
1865 NW 169TH PL, SUITE 201
BEAVERTON, OR 97006
Washington County (503) 690-9006
DAVID M PANZER, D.C.
Clinic/Center
1865 NW 169TH PL, SUITE 100
BEAVERTON, OR 97006
Washington County (503) 614-8300
DR. MARK J SEPULVEDA DC
Chiropractor
1865 NW 169TH PL, SUITE #100
BEAVERTON, OR 97006
Washington County (503) 614-8300
BARRETT FAMILY DENTAL PC
Dentist (General Practice)
1865 NW 169TH PL, SUITE 120
BEAVERTON, OR 97006
Washington County (503) 690-9667
JACOB THOMAS JANECEK O.D
Optometrist
1865 NW 169TH PL
BEAVERTON, OR 97006
Washington County (503) 533-8441

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 Kenny Lee's NPI number?

The NPI number for Kenny Lee is 1619905866. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Kenny Lee located?

Kenny Lee practices at 1865 NW 169th Pl Suite 105, Beaverton, OR 97006. The listed phone number is (503) 533-8441.

What is Kenny Lee's specialty?

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

Is Kenny Lee enrolled in Medicare?

Yes. Kenny 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.

What insurance does Kenny Lee accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Kenny 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 Kenny Lee was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.