Individual
RICHARD C LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
10330 MERIDIAN AVE N, SUITE 370, SEATTLE, WA 98133-9451
(206) 528-6000
(206) 528-0014
Mailing address
PO BOX 6989 MAIL STOP 18913, PORTLAND, OR 97228-6989
(206) 858-7000
(206) 858-7050
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00003675
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039597
LABOR AND INDUSTRIES #
WA
01
—
1334LE
BLUE SHIELD #
WA
05
—
2028389
—
WA
01
—
410048251
RAILROAD MC#
WA
01
—
US2857143
AETNA SPECIALIST PIN
WA
Enumeration date
02/01/2007
Last updated
02/29/2016
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