Lee, David D

Lee, David D is an sole proprietor health care provider with primary practice located at 133 S Knowles Ave , New Richmond WI 54017-1726. 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 D can be contacted via phone (715) 246-3937.

Contact Information

Primary practice address
133 S Knowles Ave New Richmond WI 54017-1726
Fax: (715) 246-3435
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1591035 Wisconsin

Profile Details

NPI number 1013977305
LBN Legal business name Lee, David D
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2006
Last updated May 22nd, 2008 - about 16 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 1013977305 NPPES
Wisconsin MEDICAID 38504300

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