Individual
RICHARD C LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
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
Update your record
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