Dr So Yeon Lee, OD, FAAO is a medicare enrolled "Optometrist" provider in Ft. Lauderdale, Florida. She went to Illinois College Of Optometry At Chicago and graduated in 2006 and has 18 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Nova Southeastern University Inc and her current practice location is
3200 S. University Drive, Ft. Lauderdale, Florida. You can reach out to her office (for appointments etc.) via phone at
(954) 262-4200.
Dr So Yeon Lee is licensed to practice in Florida (license number OFC68) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1518093160.
Healthcare Provider's Profile
Full Name | Dr So Yeon Lee |
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Gender | Female |
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Speciality | Optometry |
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Experience | 18 Years |
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Location | 3200 S. University Drive, Ft. Lauderdale, Florida |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr So Yeon Lee attended and graduated from Illinois College Of Optometry At Chicago in 2006
NPI Data:
- NPI Number: 1518093160
- Provider Enumeration Date: 02/26/2007
- Last Update Date: 02/20/2018
Medicare PECOS Information:
- PECOS PAC ID: 8022107572
- Enrollment ID: I20150129001510
Medical Identifiers
Medical identifiers for Dr So Yeon Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518093160 | NPI | - | NPPES |
014142700 | Medicaid | FL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152WL0500X | Optometrist - Low Vision Rehabilitation | 2697 (Tennessee) | Secondary |
152W00000X | Optometrist | OFC68 (Florida) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Nova Southeastern University Inc | 4486568896 | 84 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr So Yeon Lee allows following entities to bill medicare on her behalf.
Provider Name | Nova Southeastern University Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1700924511 PECOS PAC ID: 4486568896 Enrollment ID: O20031118000987 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr So Yeon Lee is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr So Yeon Lee, OD, FAAO Po Box 290370, Davie, FL 33329-0370 Ph: (954) 262-4397 | Dr So Yeon Lee, OD, FAAO 3200 S. University Drive, Ft. Lauderdale, FL 33328-2018 Ph: (954) 262-4200 |
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