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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871572453 NPPES
North Carolina MEDICAID 89093HG
North Carolina Other 22-00212
North Carolina Other 093HG

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