Provider Demographics
NPI:1821603838
Name:LEE VISION ASSOCIATES LLC
Entity Type:Organization
Organization Name:LEE VISION ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:Y
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-812-4539
Mailing Address - Street 1:PO BOX 825493
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19182-5493
Mailing Address - Country:US
Mailing Address - Phone:856-809-4200
Mailing Address - Fax:856-306-5231
Practice Address - Street 1:220 LAKE DR E STE 105
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08002-1165
Practice Address - Country:US
Practice Address - Phone:856-809-4200
Practice Address - Fax:856-306-5231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-15
Last Update Date:2020-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty