Provider Demographics
NPI:1508856477
Name:LEE, FRANK FAI (OD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:FAI
Last Name:LEE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:6815 SOUTHWEST FWY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-2103
Mailing Address - Country:US
Mailing Address - Phone:713-952-3937
Mailing Address - Fax:713-952-3030
Practice Address - Street 1:1100 PASADENA BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77506-4756
Practice Address - Country:US
Practice Address - Phone:713-920-2020
Practice Address - Fax:713-920-1191
Is Sole Proprietor?:No
Enumeration Date:2005-10-24
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX05779T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX148678901Medicaid
TX00126PMedicare PIN
TX148678901Medicaid
TX8F21745Medicare PIN
TXU83675Medicare UPIN