DR. SAMUEL LEE AHN O.D.
NPI 1720163694
Optometrist in Issaquah, WA
About Dr. Samuel Lee Ahn O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SAMUEL LEE AHN O.D. (NPI 1720163694) is an individual optometrist in Issaquah, Washington, licensed in Washington (OD00003506) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1999).
NPPES Registry Identity
Specialties & Licenses
Accepted 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. Samuel Lee Ahn O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Samuel Ahn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Issaquah, WA 98029
- Reassigned Medicare billing, Washington enrollment
- 3 clinicians in this Medicare group
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 98029 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Samuel Ahn's NPI number?
The NPI number for Samuel Ahn is 1720163694. It was assigned to this individual provider in the NPPES registry on October 26, 2006.
Where is Samuel Ahn located?
Samuel Ahn practices at 1000 NE Park Dr, Issaquah, WA 98029. The listed phone number is (425) 391-3222.
What is Samuel Ahn's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Samuel Ahn enrolled in Medicare?
Yes. Samuel Ahn is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Samuel Ahn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Ahn reassigns Medicare benefits to Visual Consulting Corporation, Inc (Issaquah, WA). The 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 Samuel Ahn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samuel Ahn accept?
Health plans from Anthem Blue Cross and Blue Shield, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Samuel Ahn 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 Samuel Ahn was last updated on September 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Dr. Samuel Lee Ahn, O.D. · NPI 1720163694
Optometrist provider in Issaquah, Washington. Individual provider, active in the CMS NPPES registry since October 26, 2006.
## Identity
- **NPI:** 1720163694 (Entity type: Individual)
- **Enumerated:** October 26, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** OD00003506 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 NE PARK DR, Issaquah, WA 98029-7404
- **Phone:** (425) 391-3222
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Visual Consulting Corporation, Inc (NPI 1285758599, Issaquah, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1999
## Record status
- **NPPES last updated:** September 2, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1720163694) · Data from the CMS NPPES public registry.