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

Dr. Ivan Jisoo Lee, MD

Individual provider Ophthalmology Physician · NPI 1942769831

Dr. Ivan Jisoo Lee, MD is an Ophthalmology in Fullerton, California. Graduated from Oakland Univ, William Beaumont School of Medicine in 2019, 7 years ago. Practices with Retina Consultants of Orange County, a Medical Corporation, a 7-clinician group and accepts Medicare assignment. Licensed in California and Ohio.

Years since qualifying
7
Trained at
Oakland Univ, William Beaumont School of Medicine
Licensed in
CA, OH
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

301 W Bastanchury Rd Ste 285
Fullerton, CA 92835-3432
Phone: (714) 738-4620
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence A200827 (CA)
Ophthalmology Physician Taxonomy 207W00000X · Licence 35.147835 (OH)

Record details

NPI number1942769831
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 19, 2019
Last updated in NPPESDecember 2, 2025
Certification dateDecember 2, 2025
Mailing address301 W Bastanchury Rd Ste 285, Fullerton, CA 92835-3432

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Medical schoolOAKLAND UNIV, WILLIAM BEAUMONT SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Retina Consultants Of Orange County, A Medical Corporation — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fullerton