Provider Demographics
NPI:1225035108
Name:SCHOEFFLER, LEE E (MD)
Entity Type:Individual
Prefix:MR
First Name:LEE
Middle Name:E
Last Name:SCHOEFFLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7171 S YALE AVE
Mailing Address - Street 2:STE 103
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-6367
Mailing Address - Country:US
Mailing Address - Phone:918-492-0066
Mailing Address - Fax:918-492-2239
Practice Address - Street 1:7171 S YALE AVE
Practice Address - Street 2:STE 103
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-6367
Practice Address - Country:US
Practice Address - Phone:918-492-0066
Practice Address - Fax:918-492-2239
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-07
Last Update Date:2010-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK9418207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK961028OtherAETNA
OK100093580AMedicaid
OK100731710AMedicaid
OK100093580AMedicaid