Gary Lee Od

LBN: Gary Lee Od
Gary Lee Od is an health care organization with primary practice located at 10614 Lower Azusa Rd , El Monte CA 91731-1210. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Gary Lee Od can be contacted via phone (626) 442-6620, or through Lee, Gary A via phone (626) 442-6620.

Contact Information

Primary practice address
10614 Lower Azusa Rd El Monte CA 91731-1210
Fax: (626) 442-5803
Website:
Authorized official contact:
Name: Lee, Gary A Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OP5893T California

Profile Details

NPI number 1760656417
LBN Legal business name Gary Lee Od
DBA Doing business as
Authorized official Lee, Gary A Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 14th, 2008
Last updated Apr 14th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760656417 NPPES
California MEDICAID GSD005670

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