KIM LE O.D.
NPI 1881904159
Optometrist in Happy Valley, OR

Active since October 20, 2010PECOS EnrolledAccepts Medicare Assignment
12100 SE STEVENS CT STE 106, HAPPY VALLEY, OR 97086(503) 813-2000 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 12, 2025, Feb 4, 2022, Apr 24, 2017 (3 updates tracked since 2017).

About Kim Le O.d. NPPES

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

KIM LE O.D. (NPI 1881904159) is an individual optometrist in Happy Valley, Oregon, licensed in Oregon (3500ATI) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2013).

NPPES Registry Identity

NPI1881904159
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameKIM LECredential: O.D.
Location Address12100 SE STEVENS CT STE 106Happy Valley, OR 97086-4707
Mailing Address500 Ne Multnomah St Ste 100Portland, OR 97232-2031 · (800) 813-2000
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 2013
Enumeration DateOctober 20, 2010
Last NPPES UpdateJune 12, 20253 updates tracked since enumeration
NPPES CertifiedJune 12, 2025
✔ NPI 1881904159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in OR · 3500ATI✔ Licensed in WA · 60388107
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.
12100 SE STEVENS CT STE 106, Happy Valley, OR 97086

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kim Le 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 ID2466723796
PECOS Enrollment IDI20170804002632
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.

Medicare Billing Reassignment

Medicare enrollment records show Kim Le reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sleep Disorder Diagnostic
9717 SE SUNNYSIDE RD, 3RD FLOOR
Clackamas, OR 97015
  • Reassigned Medicare billing, Oregon and Washington enrollments
  • Also billed through NPI 1871848457 (Washington)
  • 3,207 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 97086 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 11

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

Optometrist
12100 SE STEVENS CT STE 106
PORTLAND, OR 97086
Ophthalmology
12100 SE STEVENS CT STE 106, CLACKAMAS EYE CLINIC
PORTLAND, OR 97086
Ophthalmology
12100 SE STEVENS CT STE 106
HAPPY VALLEY, OR 97086
Ophthalmology
12100 SE STEVENS CT STE 106
CLACKAMAS, OR 97086
Technician/Technologist (Optician)
12100 SE STEVENS CT STE 106
CLACKAMAS, OR 97086
Optometrist
12100 SE STEVENS CT STE 106
CLACKAMAS, OR 97086
Optometrist
12100 SE STEVENS CT STE 106
CLACKAMAS, OR 97086
Optometrist
12100 SE STEVENS CT STE 106
CLACKAMAS, OR 97086

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 Kim Le's NPI number?

The NPI number for Kim Le is 1881904159. It was assigned to this individual provider in the NPPES registry on October 20, 2010.

Where is Kim Le located?

Kim Le practices at 12100 SE Stevens Ct Ste 106, Happy Valley, OR 97086. The listed phone number is (503) 813-2000.

What is Kim Le's specialty?

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

Is Kim Le enrolled in Medicare?

Yes. Kim Le 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.

Which organization bills Medicare for Kim Le's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kim Le reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Northwest (Clackamas, OR). 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 Kim Le's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kim Le accept?

Health plans from Kaiser Permanente list Kim Le 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 Kim Le was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.