Individual
BERNARD E LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
200 ARMY POST RD, DES MOINES, IA 50315
(515) 287-5565
(515) 287-2540
Mailing address
200 ARMY POST RD, DES MOINES, IA 50315
(515) 287-5565
(515) 287-2540
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
01900
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0068528
—
IA
05
—
1068528
—
IA
05
—
3068528
—
IA
05
—
4068528
—
IA
Enumeration date
05/08/2006
Last updated
02/19/2008
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