Lee, Eileen S

Lee, Eileen S is an individual health care provider with primary practice located at 388 9Th St Ste 157 , Oakland CA 94607-4290. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Lee, Eileen S can be contacted via phone (510) 268-9600.

Contact Information

Primary practice address
388 9Th St Ste 157 Oakland CA 94607-4290
Fax: (510) 268-1608
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 8533T California

Profile Details

NPI number 1851355309
LBN Legal business name Lee, Eileen S
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Nov 1st, 2019 - about 5 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 1851355309 NPPES
California Other 0504000002 MEDICARE NSC

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