Organization
DR. SANDRA LEE OPTOMETRIST INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDRA LEE O.D. (PRESIDENT)
(415) 564-1818
Entity
Organization
Contact information
Practice address
2007 IRVING ST, SAN FRANCISCO, CA 94122-1715
(415) 564-1818
Mailing address
2007 IRVING ST, SAN FRANCISCO, CA 94122-1715
(415) 564-1818
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8528T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0085280
—
CA
Enumeration date
07/06/2007
Last updated
07/10/2009
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