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Individual

CONSTANCE LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
930 COMMONWEALTH AVE, #2A, BOSTON, MA 02215-1274
(617) 262-2020
(617) 236-6323
Mailing address
940 COMMONWEALTH AVE SUITE 2, NEW ENGLAND EYE INSTITUTE, BOSTON, MA 02215
(617) 262-2020
(617) 236-6323

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4100
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0334651
MASS HEALTH
MA
01
2077157
UNITED HEALTH CARE
MA
01
30548
BMC
MA
01
31511
NHP
MA
05
334651
MA
01
976490
NETWORK HEALTH
MA
01
AA20532
HARVARD PILGRIM
MA
01
MA4400
EYEMED
MA
01
W16249
BCBS
MA
Enumeration date
07/26/2005
Last updated
03/18/2009
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