Provider Demographics
NPI:1851707715
Name:MYERS, LEE ANN (OD)
Entity Type:Individual
Prefix:DR
First Name:LEE
Middle Name:ANN
Last Name:MYERS
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 1:9520 SPECTRUM DR APT 10302
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78717-0060
Mailing Address - Country:US
Mailing Address - Phone:512-917-2950
Mailing Address - Fax:
Practice Address - Street 1:502 S KEY AVE
Practice Address - Street 2:SUIT A
Practice Address - City:LAMPASAS
Practice Address - State:TX
Practice Address - Zip Code:76550-3146
Practice Address - Country:US
Practice Address - Phone:512-556-3937
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-10
Last Update Date:2014-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8398T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist