Individual
ANTHONY M LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
166 SILVER ST, WATERVILLE, ME 04901-5815
(207) 873-3500
(207) 873-3500
Mailing address
166 SILVER ST, WATERVILLE, ME 04901-5815
(207) 873-3500
(207) 873-3500
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT838
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023215
ANTHEM
ME
05
—
255520099
—
ME
01
—
MN3981
HARVARD PILGRIM
ME
Enumeration date
09/22/2006
Last updated
02/22/2014
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