DR. SAMUEL LEE AHN O.D.
NPI 1720163694
Optometrist in Issaquah, WA

Q: 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.

Q: What is Samuel Ahn's specialty?

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

Q: 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 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.

Active since October 26, 2006PECOS Enrolled

1000 NE PARK DR, ISSAQUAH, WA 98029(425) 391-3222 Get Directions Write a Review

NPPES record last updated: September 2, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

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

NPI1720163694

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. SAMUEL LEE AHNCredential: O.D.

Location Address1000 NE PARK DRIssaquah, WA 98029-7404

Mailing Address1000 Ne Park DrIssaquah, WA 98029-7404 · (425) 391-3222

Phone(425) 391-3222

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateOctober 26, 2006

Last NPPES UpdateSeptember 2, 2014

✔ NPI 1720163694 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 WA · OD00003506

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.

1000 NE PARK DR, Issaquah, WA 98029

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

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).

PECOS PAC ID6608095344

PECOS Enrollment IDI20170420001975

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 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.

New Patient

$143.76 typical visit price

range $63.67 – $189.37

Typical copayment $35.94 (range $15.91 – $47.34)

Most-billed visit code 99204

Established Patient

$78.74 typical visit price

range $21.12 – $155.00

Typical copayment $19.68 (range $5.28 – $38.75)

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 2

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

VISUAL CONSULTING CORPORATION, INC

Optometrist

1000 NE PARK DR
ISSAQUAH, WA 98029

King County (425) 391-3222

DR. ANNA CHOWANIEC OD

Optometrist

1000 NE PARK DR
ISSAQUAH, WA 98029

King County (425) 391-3222

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.

What insurance does Samuel Ahn accept?

Health plans from 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 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.