JAEHOON LEE OPTOMETRY CORP
NPI 1891347076
Optometrist in Rancho Mirage, CA
About Jaehoon Lee Optometry Corp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAEHOON LEE OPTOMETRY CORP (NPI 1891347076) is a healthcare organization registered as an optometrist in Rancho Mirage, California and active in the NPI registry since July 2019. The organization maintains a secondary practice location in Sun City and lists Jaehoon Lee, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jaehoon Lee Optometry Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Jaehoon Lee Optometry Corp, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Medical Equipment Supplier Medicare DMEPOS 3
Medicare supplier enrollment and the product categories Jaehoon Lee Optometry Corp carries, from the Medicare DMEPOS supplier directory.
Jaehoon Lee Optometry Corp
DMEPOS supplier · Rancho Mirage, CAAccepts Medicare assignment
Jaehoon Lee Optometry Corp agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Product Categories
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 Jaehoon Lee Optometry Corp's NPI number?
The NPI number for Jaehoon Lee Optometry Corp is 1891347076. It was assigned to this organization in the NPPES registry on July 9, 2019.
Where is Jaehoon Lee Optometry Corp located?
Jaehoon Lee Optometry Corp is located at 71956 Magnesia Falls Dr, Rancho Mirage, CA 92270. The listed phone number is (760) 674-8806.
What is Jaehoon Lee Optometry Corp's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Jaehoon Lee Optometry Corp enrolled in Medicare?
Yes. Jaehoon Lee Optometry Corp is registered in the Medicare PECOS enrollment system.
When is Jaehoon Lee Optometry Corp's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (California, Physician - Optometrist) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Jaehoon Lee Optometry Corp?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Jaehoon Lee Optometry Corp. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Jaehoon Lee Optometry Corp accept Medicare assignment for medical equipment?
Yes. As a Medicare medical equipment supplier, Jaehoon Lee Optometry Corp accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.
What insurance does Jaehoon Lee Optometry Corp accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and BlueCross BlueShield of Tennessee list Jaehoon Lee Optometry Corp 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 Jaehoon Lee Optometry Corp was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Jaehoon Lee Optometry Corp · NPI 1891347076
Optometrist organization in Rancho Mirage, California. Organization record, active in the CMS NPPES registry since July 9, 2019.
## Identity
- **NPI:** 1891347076 (Entity type: Organization)
- **Enumerated:** July 9, 2019
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Jaehoon Lee, CEO
## Practice location
- **Address:** 71956 MAGNESIA FALLS DR, Rancho Mirage, CA 92270-4901
- **Phone:** (760) 674-8806 · **Fax:** (760) 674-8826
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (DME, California, Physician - Optometrist) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 24, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1891347076) · Data from the CMS NPPES public registry.