Lee, Robert Fredrick

Lee, Robert Fredrick is an sole proprietor health care provider with primary practice located at 15157 Gratiot Ave , Detroit MI 48205-1324. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Lee, Robert Fredrick can be contacted via phone (313) 526-7664.

Contact Information

Primary practice address
15157 Gratiot Ave Detroit MI 48205-1324
Phone: (313) 526-7664
Fax: (313) 526-2055
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4901003122 Michigan

Profile Details

NPI number 1013909555
LBN Legal business name Lee, Robert Fredrick
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2005
Last updated Nov 4th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1013909555 NPPES
Michigan MEDICAID 3289816

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