Individual
JASON LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3030 CHILDRENS WAY, SUITE 109, SAN DIEGO, CA 92123-4232
(858) 309-7702
Mailing address
3030 CHILDRENS WAY, SUITE 109, SAN DIEGO, CA 92123-4232
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
14881
CA
Other
Enumeration date
05/27/2014
Last updated
03/25/2017
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