Jimmy Lee, OD in Los Angeles, CA - Medicare Optometrist Provider

Jimmy Lee, OD is a medicare enrolled "Optometrist" provider in Los Angeles, California. His current practice location is 625 W College St, Suite 102, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (213) 680-1394.

Jimmy Lee is licensed to practice in California (license number 07511T) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1750424339.

Contact Information

	Jimmy Lee, OD
	625 W College St, Suite 102, Los Angeles, CA 90012-1675
	(213) 680-1394
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jimmy Lee
Gender	Male
Speciality	Optometrist
Location	625 W College St, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750424339
Provider Enumeration Date: 02/14/2007
Last Update Date: 12/01/2021

Medicare PECOS Information:

PECOS PAC ID: 2365490760
Enrollment ID: I20050111001114

Medical Identifiers

Medical identifiers for Jimmy Lee such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750424339	NPI	-	NPPES
SD0075110	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	07511T (California)	Primary

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. Jimmy Lee allows following entities to bill medicare on his behalf.

Provider Name	Southern California Permanente Medical Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Jimmy 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
Jimmy Lee, OD 625 W College St, Suite 102, Los Angeles, CA 90012-1675 Ph: (213) 680-1394	Jimmy Lee, OD 625 W College St, Suite 102, Los Angeles, CA 90012-1675 Ph: (213) 680-1394

Reviews and Comments

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Jimmy Lee, OD - Medicare Optometrist in Los Angeles, CA