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Active NPI 1922779404 Individual Practitioner Male Practitioner

Dr. Sam Lee , OD

Optometrist • Berkeley, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Sam Lee, OD is a certified Optometrist practicing in Berkeley, CA. With approximately 5 years of clinical experience since graduating from State University Of New York - State College Optometry in 2021, Dr. Lee delivers high-quality medical care to the local community at 3100 SAN PABLO AVE FL 4.

Dr. Lee is affiliated with Regents Of The University Of California At Berkeley and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

3100 San Pablo Ave Fl 4

Berkeley, CA 947022498

Telephone 4153538299

Medicare Profile & Education

Medical School

State University Of New York - State College Optometry

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Berkeley, CA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -5.6 yrs vs City Avg
City Avg: 10.6 Yrs
State Avg: 21.9 Yrs
Regional Practice Density
127 Specialists

Practicing in Berkeley, CA (8588 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lee (5 Years) 5 Yrs
Berkeley Specialty Average (10.6 Years) 10.6 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-04-08
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License CA 34986

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Hospital & Practice Group Affiliations

Regents Of The University Of California At Berkeley

200 Minor Hall, Berkeley, CA 947202020

Phone: 5106422020

Secondary Practice Locations

230 Minor Hall Mc-2020

Berkeley, CA 947200001

Phone: 5106422020

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1629507496

Doctor of Audiology

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location April 08, 2025

Registered at 3100 SAN PABLO AVE FL 4, BERKELEY, CA 947022498 (Tel: 4153538299)

NPI Profile Active September 23, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location September 23, 2021

Registered at 230 MINOR HALL MC-2020, BERKELEY, CA 947200001 (Tel: 5106422020)

📍
Updated Business Mailing Address September 23, 2021

Registered at 17806 SYCAMORE AVE, PATTERSON, CA 953639336

👤
Provider Name / Credentials Updated September 23, 2021

Recorded as SAM LEE, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2021

Optometrist (License #34986 in CA)

🟢
Initial NPI Registration & Enumeration September 23, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922779404
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 23, 2021
Last Update: April 08, 2025
Sole Proprietor: Yes

Mailing Address

17806 Sycamore Ave

Patterson, CA 953639336

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.