Provider Demographics
NPI:1568726586
Name:LEE, FRANCESCA KIM (OD)
Entity Type:Individual
Prefix:
First Name:FRANCESCA
Middle Name:KIM
Last Name:LEE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2177 OAK TREE RD STE 203
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-1082
Mailing Address - Country:US
Mailing Address - Phone:908-822-0070
Mailing Address - Fax:908-822-0075
Practice Address - Street 1:2177 OAK TREE RD STE 203
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-1082
Practice Address - Country:US
Practice Address - Phone:908-822-0070
Practice Address - Fax:908-822-0075
Is Sole Proprietor?:No
Enumeration Date:2012-06-25
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007853152W00000X
NJ27OM00162900152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400160881Medicare PIN