Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Chang Sup Lee, MD

Individual provider Ophthalmology Physician · NPI 1598296238

Dr. Chang Sup Lee, MD is an Ophthalmology in Los Angeles, California. Qualified in 2017, 9 years ago. Practices with Retina Vitreous Associates Medical Group, a 17-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

520 S Virgil Ave Ste 103
Los Angeles, CA 90020-1425
Phone: (404) 783-3508
Fax: (213) 297-7978
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1450 San Pablo St Ste 400, Los Angeles, CA 90033-5331 — (323) 442-6335
  • 555 N 13th Ave, Upland, CA 91786-4904 — (800) 345-8979

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence A172874 (CA)
Retina Specialist (Ophthalmology) Physician Taxonomy 207WX0107X · Licence A172874 (CA)

Record details

NPI number1598296238
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2017
Last updated in NPPESApril 30, 2026
Certification dateApril 30, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Retina Vitreous Associates Medical Group — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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