Individual
DR. BENJAMIN MICHAEL LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2699 TOWNSEND CT, CLARKSVILLE, TN 37043-6487
(931) 647-8417
(931) 648-4435
Mailing address
2699 TOWNSEND CT, CLARKSVILLE, TN 37043-6487
(931) 647-8417
(931) 648-4435
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3739
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3739
LICENSE
TN
Enumeration date
06/03/2022
Last updated
06/20/2022
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