Lee, Erny

Lee, Erny is an sole proprietor health care provider with primary practice located at 2060 Peabody Rd Sutie 600, Vacaville CA 95687-6696. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Lee, Erny can be contacted via phone (707) 448-0163.

Contact Information

Primary practice address
2060 Peabody Rd Sutie 600 Vacaville CA 95687-6696
Fax: (707) 448-5321
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 6489T California

Profile Details

NPI number 1528178969
LBN Legal business name Lee, Erny
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2006
Last updated Jul 9th, 2007 - about 19 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1528178969 NPPES
California MEDICAID SD0064890

Popular Providers