Lee, Jason C

Lee, Jason C is an individual health care provider with primary practice located at 2138 W Palmetto St , Florence SC 29501-4048. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Lee, Jason C can be contacted via phone (843) 662-1989.

Contact Information

Primary practice address
2138 W Palmetto St Florence SC 29501-4048
Phone: (843) 662-1989
Fax: (843) 667-8897
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1245 South Carolina

Profile Details

NPI number 1245227321
LBN Legal business name Lee, Jason C
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Oct 29th, 2013 - about 13 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 1245227321 NPPES
South Carolina MEDICAID DA9978
South Carolina MEDICAID D12458
South Carolina MEDICAID DA9740

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