Individual
JACK LEE MCGEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3100 19TH ST STE 100, BAKERSFIELD, CA 93301-3149
(661) 322-3937
Mailing address
3100 19TH ST STE 100, BAKERSFIELD, CA 93301-3149
(661) 322-3937
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
07 00002439
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DX002788F
—
CA
Enumeration date
03/25/2007
Last updated
07/08/2007
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