Lee, Colin
Lee, Colin is an individual health care provider with primary practice located at W180N8000 Town Hall Rd , Menomonee Falls WI 53051-4002. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Lee, Colin can be contacted via phone (262) 532-3271.Contact Information
Primary practice address
W180N8000 Town Hall Rd
Menomonee Falls WI 53051-4002
Phone: (262) 532-3271
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046.011310 | Illinois |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3879-35 | Wisconsin |
Profile Details
| NPI number | 1720646193 |
|---|---|
| LBN Legal business name | Lee, Colin |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2019 |
| Last updated | Mar 9th, 2023 - about 2 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 | 1720646193 | NPPES |
| Wisconsin | Other | 3879-35 | LICENSED OPTOMETRIST |
| Wisconsin | Other | 046.011310 | LICENSED OPTOMETRIST |
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