Lee, Chang Soo Daniel

Lee, Chang Soo Daniel is an sole proprietor health care provider with primary practice located at 700 Lafayette Rd Unit 1, Seabrook NH 03874-6202. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Lee, Chang Soo Daniel can be contacted via phone (603) 474-1681.

Contact Information

Primary practice address
700 Lafayette Rd Unit 1 Seabrook NH 03874-6202
Phone: (603) 474-1681
Fax: (603) 474-0695
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0728 New Hampshire
Eye and Vision Services Providers / Optometrist 152W00000X 4207 Massachusetts

Profile Details

NPI number 1285745604
LBN Legal business name Lee, Chang Soo Daniel
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Jan 4th, 2016 - about 10 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 1285745604 NPPES
Other 7572613 AETNA
Other 8966242/67520 AETNA
MEDICAID NH30852529 AETNA
Other 904088 AETNA
Other CH1452123 AETNA
Other 18326 AETNA
Other 27509 AETNA
Other 09Y004672NH01 AETNA
Other 207444 AETNA
Other AA49702 AETNA
Other 23210 AETNA
MEDICAID 0712159 AETNA
Other 300042 AETNA
Other 48514 AETNA

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