Lee, So Yeon
Lee, So Yeon is an individual health care provider with primary practice located at 3200 S. University Drive , Ft. Lauderdale FL 33328-2018. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Lee, So Yeon can be contacted via phone (954) 262-4200.Contact Information
Primary practice address
3200 S. University Drive
Ft. Lauderdale FL 33328-2018
Phone: (954) 262-4200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | 2697 | Tennessee |
| Eye and Vision Services Providers / Optometrist | 152W00000X | OFC68 | Florida |
Profile Details
| NPI number | 1518093160 |
|---|---|
| LBN Legal business name | Lee, So Yeon |
| Credentials | O.D., FAAO |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 26th, 2007 |
| Last updated | Feb 20th, 2018 - about 6 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 | 1518093160 | NPPES |
| Florida | MEDICAID | 014142700 |
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