Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1942769831 Individual Practitioner Male Practitioner

Dr. Ivan Jisoo Lee , MD

Ophthalmology • Fullerton, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ivan Lee, MD is a certified Ophthalmology practicing in Fullerton, CA. With approximately 7 years of clinical experience since graduating from Oakland Univ, William Beaumont School Of Medicine in 2019, Dr. Lee delivers high-quality medical care to the local community at 301 W BASTANCHURY RD STE 285.

Dr. Lee is affiliated with Retina Consultants Of Orange County, A Medical Corporation and accepts Medicare assignment.

Frequently performed procedures and clinical services include imaging of retina, established patient outpatient office visit, injection of drug into eye. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

301 W Bastanchury Rd Ste 285

Fullerton, CA 928353432

Telephone 7147384620
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Oakland Univ, William Beaumont School Of Medicine

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Fullerton, CA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -16.1 yrs vs City Avg
City Avg: 23.1 Yrs
State Avg: 29.5 Yrs
Regional Practice Density
20 Specialists

Practicing in Fullerton, CA (3116 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
71.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lee (7 Years) 7 Yrs
Fullerton Specialty Average (23.1 Years) 23.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92134 Imaging of retina
30 28 $95.00 $23.13
99213 Established patient office or other outpatient visit, typically 15 minutes
20 19 $145.00 $62.62
67028 Injection of drug into eye
14 14 $382.50 $94.66

Medical Specialties & State Licenses

CMS Verified: 2025-12-02
Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License CA A200827

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Ophthalmology

NUCC Taxonomy Code: 207W00000X

State License OH 35.147835

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Hospital & Practice Group Affiliations

Retina Consultants Of Orange County, A Medical Corporation

6319 Greenleaf Ave, Whittier, CA 906013536

Phone: 5629452468

Practice Associates & Co-Workers

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

4 Associated Practitioners
Dr. Sean Adrean , MD

Ophthalmology - Retina Specialist

NPI 1073566568

Doctor of Medicine (M.D.)

Dr. Hema Ramkumar , MD

Ophthalmology - Retina Specialist

NPI 1184919524

Doctor of Medicine (M.D.)

Dr. Scott Grant , MD

Ophthalmology - Retina Specialist

NPI 1194762310

Doctor of Medicine (M.D.)

Dr. Ash Pirouz , MD

Ophthalmology - Retina Specialist

NPI 1942489356

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

15 Historical Events
📍
Updated Practice Location December 02, 2025

Registered at 301 W BASTANCHURY RD STE 285, FULLERTON, CA 928353432 (Tel: 7147384620)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2025

Ophthalmology (License #A200827 in CA)

📍
Updated Business Mailing Address July 21, 2025

Registered at 301 W BASTANCHURY RD STE 285, FULLERTON, CA 928353432 (Tel: 7147384620)

📍
Updated Practice Location June 23, 2023

Registered at 915 OLENTANGY RIVER RD FL 5, COLUMBUS, OH 432123153 (Tel: 6142938116)

📍
Updated Business Mailing Address June 23, 2023

Registered at 700 ACKERMAN RD STE 2120, COLUMBUS, OH 432021559 (Tel: 6142938116)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2023

Ophthalmology (License #35.147835 in OH)

📍
Updated Practice Location May 14, 2020

Registered at 1 MEDICAL CENTER DR, MORGANTOWN, WV 265061200 (Tel: 3045984820)

📍
Updated Business Mailing Address May 14, 2020

Registered at 1 MEDICAL CENTER DR, MORGANTOWN, WV 265061200 (Tel: 3045984820)

👤
Provider Name / Credentials Updated June 15, 2019

Recorded as IVAN LEE, MD

NPI Profile Active March 19, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location March 19, 2019

Registered at 36475 FIVE MILE RD, LIVONIA, MI 481541971 (Tel: 7346554800)

📍
Updated Business Mailing Address March 19, 2019

Registered at 36475 FIVE MILE RD, LIVONIA, MI 481541971 (Tel: 7346554800)

👤
Provider Name / Credentials Updated March 19, 2019

Recorded as IVAN LEE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 19, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 19, 2019

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: 1942769831
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 19, 2019
Last Update: December 02, 2025
Sole Proprietor: No

Mailing Address

301 W Bastanchury Rd Ste 285

Fullerton, CA 928353432

Phone: 7147384620

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.