Individual
MR. JASON C LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
504 S 4TH ST, HARTSVILLE, SC 29550-5720
(864) 654-6706
Mailing address
PO BOX 896189, CHARLOTTE, NC 28289-6189
(864) 654-6706
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
05/28/2025
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