Individual
MR. JASON C LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
730 W CHURCH ST, BISHOPVILLE, SC 29010-1016
(803) 484-5494
Mailing address
PO BOX 11407, BIRMINGHAM, AL 35246-8575
(864) 359-1308
(239) 496-3939
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1245
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D12458
—
SC
05
—
DA9740
—
SC
05
—
DA9978
—
SC
Enumeration date
10/04/2005
Last updated
06/03/2026
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