Lee, Constance

Lee, Constance is an individual health care provider with primary practice located at 930 Commonwealth Ave #2A, Boston MA 02215-1274. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Lee, Constance can be contacted via phone (617) 262-2020.

Contact Information

Primary practice address
930 Commonwealth Ave #2A Boston MA 02215-1274
Phone: (617) 262-2020
Fax: (617) 236-6323
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4100 Massachusetts

Profile Details

NPI number 1912907429
LBN Legal business name Lee, Constance
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated Mar 18th, 2009 - about 15 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 1912907429 NPPES
Massachusetts Other W16249 BCBS
Massachusetts Other 30548 BCBS
Massachusetts Other 31511 BCBS
Massachusetts Other MA4400 BCBS
Massachusetts Other 976490 BCBS
Massachusetts Other AA20532 BCBS
Massachusetts MEDICAID 334651 BCBS
Massachusetts Other 2077157 BCBS
Massachusetts Other 0334651 BCBS

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