Ivan Lee O.D.

NPI 1154526358 - Optometrist - 152W00000X

NPI Details
NPI 1154526358
Gender Male
Enumeration Date 06/18/2007
Last Updated 09/19/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1777 KUSER RD
HAMILTON SQUARE NJ, 08690-3703, US
Phone (609) 581-5755
Fax (609) 581-7055
Business Location
25 AGATHA DR
EDISON NJ, 08817-2224, US
Phone (908) 507-1368
Fax
Toxanomy
Taxonomy Code 152W00000X
License State New Jersey
License Number 270A00556300
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According to our database, Dr. Ivan Lee O.D. NPI is 1154526358, taxonomy code is 152W00000X and license number is 270A00556300, license state is located at New Jersey. Ivan Lee O.D. physically located at 1777 Kuser Rd, Hamilton Square NJ, 08690-3703. NPI Number Ivan Lee O.D. has the Individual type.

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1154526358 NPI number is provided on an as is basis without warranty of any kind. 1154526358 is maintained by the National Plan & Provider Enumeration System. The contents of Ivan Lee O.D. are for informational purposes only.