Individual
DR. EILEEN S LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
388 9TH ST STE 157, OAKLAND, CA 94607-4290
(510) 268-9600
(510) 268-1608
Mailing address
515 CREEDON CIR, ALAMEDA, CA 94502-7795
(510) 839-0938
(510) 839-1818
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8533T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0504000002
MEDICARE NSC
CA
Enumeration date
04/13/2006
Last updated
11/01/2019
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