Lee, Randolph D
Lee, Randolph D is an sole proprietor health care provider with primary practice located at 700 N Raymond St , Boise ID 83704-9261. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Lee, Randolph D can be contacted via phone (208) 375-3871.Contact Information
Primary practice address
700 N Raymond St
Boise ID 83704-9261
Phone: (208) 375-3871
Fax: (208) 321-1765
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODP 591 | Idaho |
Profile Details
| NPI number | 1427091677 |
|---|---|
| LBN Legal business name | Lee, Randolph D |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Jan 8th, 2008 - about 18 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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