JIMMY LEE OD
NPI 1750424339
Optometrist in Los Angeles, CA

Active since February 14, 2007PECOS EnrolledAccepts Medicare Assignment
625 W COLLEGE ST, SUITE 102, LOS ANGELES, CA 90012(213) 680-1394 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jimmy Lee Od NPPES

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

JIMMY LEE OD (NPI 1750424339) is an individual optometrist in Los Angeles, California, licensed in California (07511T) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (1982).

NPPES Registry Identity

NPI1750424339
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJIMMY LEECredential: OD
Location Address625 W COLLEGE ST, SUITE 102Los Angeles, CA 90012-1675
Mailing Address625 W College St, Suite 102Los Angeles, CA 90012-1675 · (213) 680-1394
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1982
Enumeration DateFebruary 14, 2007
Last NPPES UpdateDecember 1, 2021
NPI 1750424339 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 CA · 07511T
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.
625 W COLLEGE ST, Los Angeles, CA 90012

Other Identifiers 1

MedicaidSD0075110CA

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

Jimmy Lee Od 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 ID2365490760
PECOS Enrollment IDI20050111001114
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 90012 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

Chiropractor
625 W COLLEGE ST, #206
LOS ANGELES, CA 90012
Dentist
625 W COLLEGE ST, #104
LOS ANGELES, CA 90012
Optometrist
625 W COLLEGE ST, SUITE 102
LOS ANGELES, CA 90012
Internal Medicine
625 W COLLEGE ST, SUITE 201
LOS ANGELES, CA 90012
Optometrist
625 W COLLEGE ST, SUITE 102
LOS ANGELES, CA 90012
Family Medicine
625 W COLLEGE ST, 106
LOS ANGELES, CA 90012

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 Jimmy Lee's NPI number?

The NPI number for Jimmy Lee is 1750424339. It was assigned to this individual provider in the NPPES registry on February 14, 2007.

Where is Jimmy Lee located?

Jimmy Lee practices at 625 W College St Suite 102, Los Angeles, CA 90012. The listed phone number is (213) 680-1394.

What is Jimmy Lee's specialty?

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

Is Jimmy Lee enrolled in Medicare?

Yes. Jimmy 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.

When was this NPI record last updated?

The NPPES record for Jimmy Lee was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.