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Contact Information

CHAN W LEE, OD
2790 CABOT DRIVE
SUITE 135
CORONA, CA92883
 Phone: 951-277-2774
 Fax: 951-271-9754
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for CHAN W LEE · (Male)

NPI # 1326038993
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 10/25/2005
Last updated 02/28/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 12516TPA
  • CA Medicaid 8073436
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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