Individual
ERNY LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2060 PEABODY RD, SUTIE 600, VACAVILLE, CA 95687-6696
(707) 448-0163
(707) 448-5321
Mailing address
2060 PEABODY RD, SUTIE 600, VACAVILLE, CA 95687-6696
(707) 448-0163
(707) 448-5321
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6489T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0064890
—
CA
Enumeration date
08/30/2006
Last updated
07/09/2007
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