Lim, Susie Lee
Lim, Susie Lee is an individual health care provider with primary practice located at 610 Euclid Ave Suite 302, National City CA 91950-2951. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Lim, Susie Lee can be contacted via phone (619) 472-1010.Contact Information
Primary practice address
610 Euclid Ave Suite 302
National City CA 91950-2951
Phone: (619) 472-1010
Fax: (619) 479-5233
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT12140TPA | California |
Profile Details
| NPI number | 1790856367 |
|---|---|
| LBN Legal business name | Lim, Susie Lee |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 13th, 2006 |
| Last updated | Jan 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790856367 | NPPES |
| California | MEDICAID | SD0121400 |
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