Kenny B Lee (NPI# 1619905866, PAC ID# 6608862016) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1619905866 |
| PAC ID by PECOS | 6608862016 |
| Professional Enrollment ID | I20051011000911 |
| Full Name | Kenny B Lee |
| Organization Legal Name | SUNSET EYE CLINIC LLC |
| Address |
1865 Nw 169th Pl Suite 105 Beaverton OR 97006-7310 |
| Phone Number | 5035338441 |
| Gender | M |
| Credential | OD |
| Medical School | PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY |
| Graduation Year | 2002 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 3678624301 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1865 Nw 169th Pl, Suite 105, Beaverton, OR 97006-7310 | 5035338441 | SUNSET EYE CLINIC LLC |
| Organization Legal Name | SUNSET EYE CLINIC LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chris O Jamus | Optometry | Sunset Eye Clinic LLC | 1865 Nw 169th Pl, Suite 105, Beaverton, OR 97006-7310 |
| Ji Hyun Lee | Optometry | Sunset Eye Clinic LLC | 1865 Nw 169th Pl, Suite 105, Beaverton, OR 97006-7310 |
| Jacob T Janecek | Optometry | Sunset Eye Clinic LLC | 1865 Nw 169th Pl, Suite 105, Beaverton, OR 97006-7310 |
| Street Address |
1865 NW 169TH PL SUITE 105 |
| City | BEAVERTON |
| State | OR |
| Zip | 97006-7310 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chris O Jamus | Optometry | Sunset Eye Clinic LLC | 1865 Nw 169th Pl, Suite 105, Beaverton, OR 97006-7310 |
| Elizabeth S Tarr | Clinical Social Worker | 1865 Nw 169th Pl, Suite 201, Beaverton, OR 97006-7310 | |
| Ji Hyun Lee | Optometry | Sunset Eye Clinic LLC | 1865 Nw 169th Pl, Suite 105, Beaverton, OR 97006-7310 |
| Mark J Sepulveda | Chiropractic | 1865 Nw 169th Pl, Suite 100, Beaverton, OR 97006-7310 | |
| Jacob T Janecek | Optometry | Sunset Eye Clinic LLC | 1865 Nw 169th Pl, Suite 105, Beaverton, OR 97006-7310 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian G Orahood | Podiatry | 17200 Nw Corridor Ct, Suite 108, Beaverton, OR 97006-3295 | |
| Sandhya V Koppula | Dermatology | 17200 Nw Corridor Ct, Suite 112, Beaverton, OR 97006-3295 | |
| Connie A Oreilly | Clinical Psychologist | 18156 Nw Cambray St, Beaverton, OR 97006-3432 | |
| Curtis G Delplanche | Neurology | 20 Nw 185th Ave, Aloha, OR 97006-3507 | |
| Mehdi Mike Mirtorabi | Internal Medicine | 2155 Nw 173rd Ave, Suite 102, Beaverton, OR 97006-3563 | |
| Christopher S Estes | Orthopedic Surgery | Legacy Clinics LLC | 1960 Nw 167th Pl, Suite 200, Beaverton, OR 97006-4804 |
| Thomas W Lyttle | Physical Therapy | Legacy Clinics LLC | 1960 Nw 167th Pl, Suite 200, Beaverton, OR 97006-4804 |
| Christine E Shrader | Physical Therapy | Legacy Clinics LLC | 1960 Nw 167th Pl, Suite 200, Beaverton, OR 97006-4804 |
| Alison H Linka | Physical Therapy | Legacy Clinics LLC | 1960 Nw 167th Pl, Suite 200, Beaverton, OR 97006-4804 |
| Wendi A Lucero | Physical Therapy | Legacy Clinics LLC | 1960 Nw 167th Pl, Suite 200, Beaverton, OR 97006-4804 |
| Find all physicians in zip 97006 | |||
| City | BEAVERTON |
| Zip Code | 97006 |
| Specialty | OPTOMETRY |
| City + Specialty | BEAVERTON + OPTOMETRY |
Please comment or provide details below to improve the information on Kenny B Lee.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.