IRENE TIMOTHY LEE MD - NPI 1649837717 - Ophthalmology in Jacksonville, FL

Q: What is Irene Lee's NPI number?

The NPI number for Irene Lee is 1649837717. It was assigned to this individual provider in the NPPES registry on May 23, 2019.

Q: What is Irene Lee's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery, with taxonomy code 207WX0200X.

Q: When was this NPI record last updated?

The NPPES record for Irene Lee was last updated on November 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Irene Timothy Lee Md NPPES

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

IRENE TIMOTHY LEE MD (NPI 1649837717) is an individual ophthalmic plastic and reconstructive surgery provider in Jacksonville, Florida, licensed in Florida (ME171749) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and is a graduate of Icahn School Of Medicine At Mount Sinai (2019).

NPPES Registry Identity

NPI1649837717

Entity TypeIndividualFemale

Primary Taxonomy207WX0200X

Provider Legal NameIRENE TIMOTHY LEECredential: MD

Location Address11512 LAKE MEAD AVE UNIT 534Jacksonville, FL 32256-5835

Mailing Address11512 Lake Mead Ave Unit 534Jacksonville, FL 32256-5835 · (904) 564-2020

Phone(904) 564-2020

Sole ProprietorNo

Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 2019

Enumeration DateMay 23, 2019

Last NPPES UpdateNovember 4, 20254 updates tracked since enumeration

NPPES CertifiedNovember 4, 2025

✔ NPI 1649837717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207WX0200X

License✔ Licensed in FL · ME171749

Definition

A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.

11512 LAKE MEAD AVE UNIT 534, Jacksonville, FL 32256

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee.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

Irene Timothy Lee Md 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 ID2062863244

PECOS Enrollment IDI20250822003160

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32256 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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 6

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

DR. KENZO JAMES PAUL KOIKE M.D.

Ophthalmology