Lee, Edward Seungho

Lee, Edward Seungho is an sole proprietor health care provider with primary practice located at 32020 32Nd Ave S Ste 130, Federal Way WA 98001-9625. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Lee, Edward Seungho can be contacted via phone (253) 839-0600.

Contact Information

Primary practice address
32020 32Nd Ave S Ste 130 Federal Way WA 98001-9625
Fax: (253) 941-7485
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X WA2011 Washington

Profile Details

NPI number 1083616288
LBN Legal business name Lee, Edward Seungho
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 1st, 2005
Last updated Apr 10th, 2015 - about 9 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 1083616288 NPPES
Washington MEDICAID 2013498

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