Lee, Amanda K
Lee, Amanda K is an individual health care provider with primary practice located at 109 Finnegan Ct , Myrtle Beach SC 29579-4205. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Lee, Amanda K can be contacted via phone (843) 903-0949.Contact Information
Primary practice address
109 Finnegan Ct
Myrtle Beach SC 29579-4205
Phone: (843) 903-0949
Fax: (843) 903-1101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1800 | North Carolina |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1644 | South Carolina |
Profile Details
| NPI number | 1871572453 |
|---|---|
| LBN Legal business name | Lee, Amanda K |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2006 |
| Last updated | Oct 1st, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871572453 | NPPES |
| North Carolina | MEDICAID | 89093HG | |
| North Carolina | Other | 22-00212 | |
| North Carolina | Other | 093HG |
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