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JI HYUN LEE O.D.
NPI 1679851752
Optometrist in Beaverton, OR

Active since July 24, 2011PECOS EnrolledAccepts Medicare Assignment
1865 NW 169TH PL STE 105, BEAVERTON, OR 97006(503) 533-8441(503) 533-8403 Get Directions Write a Review

NPPES record last updated: February 5, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ji Hyun Lee O.d. NPPES

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

JI HYUN LEE O.D. (NPI 1679851752) is an individual optometrist in Beaverton, Oregon, licensed in Oregon (3508) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2012).

NPPES Registry Identity

NPI1679851752
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameJI HYUN LEECredential: O.D.
Location Address1865 NW 169TH PL STE 105Beaverton, OR 97006-7310
Mailing Address1865 Nw 169th Pl Ste 105Beaverton, OR 97006-7310 · (503) 533-8441 · Fax (503) 533-8403
Phone(503) 533-8441
Fax(503) 533-8403
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 2012
Enumeration DateJuly 24, 2011
Last NPPES UpdateFebruary 5, 2015
✔ NPI 1679851752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in OR · 3508
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.
Also ListedOptometrist · Low Vision RehabilitationTaxonomy 152WL0500X · License 3296 (MN)
1865 NW 169TH PL STE 105, Beaverton, OR 97006
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Other Names 1

Other Name (5)Ji Hyun Lydia Ko O.d.

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

Ji Hyun 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 ID8628202926
PECOS Enrollment IDI20130927000231
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 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.

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.
46 services32 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.
25 services25 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

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

JOSEPH LIM
Optometrist
1865 NW 169TH PL STE 105
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 Ji Hyun Lee's NPI number?

The NPI number for Ji Hyun Lee is 1679851752. It was assigned to this individual provider in the NPPES registry on July 24, 2011. The provider is also known as Ji Hyun Lydia Ko O.D..

Where is Ji Hyun Lee located?

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

What is Ji Hyun Lee's specialty?

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

Is Ji Hyun Lee enrolled in Medicare?

Yes. Ji Hyun 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 Ji Hyun 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 Ji Hyun 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 Ji Hyun Lee was last updated on February 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.