Lee, Elaine
Lee, Elaine is an individual health care provider with primary practice located at 19201 Bear Valley Rd , Apple Valley CA 92308-2702. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Lee, Elaine can be contacted via phone (760) 247-1013.Contact Information
Primary practice address
19201 Bear Valley Rd
Apple Valley CA 92308-2702
Phone: (760) 247-1013
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 10507T | California |
Profile Details
| NPI number | 1205934551 |
|---|---|
| LBN Legal business name | Lee, Elaine |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | May 23rd, 2019 - about 7 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 | 1205934551 | NPPES |
| California | MEDICAID | SD0105070 |
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