Individual
DR. CHANG SOO DANIEL LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
700 LAFAYETTE RD, UNIT 1, SEABROOK, NH 03874-6202
(603) 474-1681
(603) 474-0695
Mailing address
700 LAFAYETTE RD, SEABROOK, NH 03874-6202
(603) 474-1681
(603) 474-0695
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0728
NH
152W00000X
Optometrist
4207
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0712159
—
MA
01
—
09Y004672NH01
BLUE CROSS BLUE SHIELD
NH
01
—
18326
SPECTERA
—
01
—
207444
COLE VISION
—
01
—
23210
AVESIS
—
01
—
27509
MEDICAL EYE SERVICE
—
01
—
300042
NATIONAL VISION ADM
—
01
—
48514
DAVIS VISION
—
01
—
7572613
AETNA
—
01
—
8966242/67520
CIGNA HEALTHCARE
—
01
—
904088
BLOCK VISION
—
01
—
AA49702
HARVARD PILGRIM
MA
01
—
CH1452123
CLARITY VISION
—
05
—
NH30852529
—
NH
Enumeration date
08/31/2006
Last updated
01/04/2016
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