Provider Demographics
NPI:1790003291
Name:LEE NEWTON INC
Entity Type:Organization
Organization Name:LEE NEWTON INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LEE
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:NEWTON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:989-667-9393
Mailing Address - Street 1:3720 WILDER RD
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48706-2126
Mailing Address - Country:US
Mailing Address - Phone:989-667-9393
Mailing Address - Fax:989-667-5577
Practice Address - Street 1:3720 WILDER RD
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48706-2126
Practice Address - Country:US
Practice Address - Phone:989-667-9393
Practice Address - Fax:989-667-5577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-07
Last Update Date:2010-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901004072152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty