Individual
DR. COLIN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4300 W LAYTON AVE STE 100, GREENFIELD, WI 53220-4136
(414) 928-2020
(414) 210-3402
Mailing address
4300 W LAYTON AVE STE 100, GREENFIELD, WI 53220-4136
(414) 928-2020
(414) 210-3402
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
046.011310
IL
152W00000X
Optometrist
Primary
3879-35
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046.011310
LICENSED OPTOMETRIST
IL
01
—
3879-35
LICENSED OPTOMETRIST
WI
Enumeration date
05/31/2019
Last updated
03/09/2026
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