ALICE LEE O.D.
NPI 1992107551
Optometrist in San Gabriel, CA

Active since September 25, 2014PECOS Enrolled
417 S SAN GABRIEL BLVD STE B, SAN GABRIEL, CA 91776(626) 291-2020 Get Directions Write a Review

NPPES record last updated: July 6, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 6, 2020, Mar 16, 2016 (2 updates tracked since 2016).

About Alice Lee O.d. NPPES

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

ALICE LEE O.D. (NPI 1992107551) is an individual optometrist in San Gabriel, California, licensed in California (15064) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992107551
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameALICE LEECredential: O.D.
Location Address417 S SAN GABRIEL BLVD STE BSan Gabriel, CA 91776-1968
Mailing Address417 S San Gabriel Blvd Ste BSan Gabriel, CA 91776-1968 · (626) 291-2020
Sole ProprietorYes
Enumeration DateSeptember 25, 2014
Last NPPES UpdateJuly 6, 20202 updates tracked since enumeration
NPPES CertifiedJuly 6, 2020
NPI 1992107551 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 · 15064
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.

417 S SAN GABRIEL BLVD STE B, San Gabriel, CA 91776

Accepted 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)

Alice Lee O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 91776 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.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992107551, enumerated as an "individual" on September 25, 2014.

The provider is located at 417 S SAN GABRIEL BLVD STE B SAN GABRIEL, CA 91776 and the phone number is (626) 291-2020.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.