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Individual

JOHN HYUP LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
947 OLD YORK RD STE 1, ABINGTON, PA 19001-4611
(215) 935-6908
(215) 935-6387
Mailing address
947 OLD YORK RD STE 1, ABINGTON, PA 19001-4611
(215) 935-6908
(215) 935-6387

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000524
PA
152WC0802X
Corneal and Contact Management Optometrist
OEG000524
PA
152WP0200X
Pediatric Optometrist
OEG000524
PA
152WX0102X
Occupational Vision Optometrist
OEG000524
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2017197
AETNA - GROUP NUMBER
PA
01
367529
HIGHMARK BLUE SHIELD GROU
PA
01
5914492
AETNA - INDIVIDUAL
PA
01
785692
HIGHMARK BLUE SHIELD INDI
PA
Enumeration date
02/13/2006
Last updated
06/12/2014
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