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

Dr. Jung H. Lee, OD

Individual provider Optometrist · NPI 1417055344

Dr. Jung H. Lee, OD is an Optometry in National City, California. Graduated from State University of New York - State College Optometry in 2004, 22 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California and New York.

Years since qualifying
22
Trained at
State University of New York - State College Optometry
Licensed in
CA, NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

3030 Plaza Bonita Rd #2270
National City, CA 91950-8009
Phone: (619) 267-8500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPT13238TPA (CA)
Optometrist Taxonomy 152W00000X · Licence TUV006796-1 (NY)

Record details

NPI number1417055344
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedSeptember 21, 2006
Last updated in NPPESOctober 23, 2021
Certification dateOctober 23, 2021

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolSTATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Graduated 2004 (22 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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