Lee, David
Lee, David is an sole proprietor health care provider with primary practice located at 8351 Elk Grove Blvd. Suite 200, Elk Grove CA 95758-5515. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Lee, David can be contacted via phone (916) 683-1222.Contact Information
Primary practice address
8351 Elk Grove Blvd. Suite 200
Elk Grove CA 95758-5515
Phone: (916) 683-1222
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 9648T | California |
Profile Details
| NPI number | 1508929407 |
|---|---|
| LBN Legal business name | Lee, David |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 19th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1508929407 | NPPES |
| California | MEDICAID | SD0096480 |
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