Individual
DR. JENNIFER LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
20 MALL DR E FL 2, JERSEY CITY, NJ 07310-1602
(714) 403-6571
Mailing address
346 WALNUT ST, NUTLEY, NJ 07110-1817
(714) 403-6571
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC5576
FL
207W00000X
Ophthalmology Physician
OCP5576
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPC5576
NON-MEDICARE
FL
Enumeration date
08/18/2018
Last updated
04/01/2026
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