Provider Demographics
NPI:1649237124
Name:LEE, BARBARA MILLER (MD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:MILLER
Last Name:LEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:6035 FAIRVIEW RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-3256
Mailing Address - Country:US
Mailing Address - Phone:704-295-3000
Mailing Address - Fax:704-838-8494
Practice Address - Street 1:6035 FAIRVIEW RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-3256
Practice Address - Country:US
Practice Address - Phone:704-295-3000
Practice Address - Fax:704-838-8494
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2005-01367207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC30669OtherCIGNA
SC20098337OtherSELECT HEALTH OF SC
NC806955OtherCOMMUNITY EYE CARE
SCN01367Medicaid
SC000000296462OtherUNISON HEALTH PLAN OF SC
NC141FJOtherBCBS
NC182455OtherMEDCOST
NC7669566OtherAETNA
SCP00252325OtherRAILROAD MEDICARE
NC5901824Medicaid
NC5901824Medicaid
NC0264730009Medicare NSC