Provider Demographics
NPI:1922098086
Name:LEE, ROBERT JEFFREY (OD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:JEFFREY
Last Name:LEE
Suffix:
Gender:M
Credentials:OD
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Other - Credentials:
Mailing Address - Street 1:KIMBROUGH AMBULATORY CARE CENTER
Mailing Address - Street 2:ATTN: MCXR-CR 2480 LLEWELLYN AVE
Mailing Address - City:FT. MEADE
Mailing Address - State:MD
Mailing Address - Zip Code:20755
Mailing Address - Country:US
Mailing Address - Phone:301-677-8270
Mailing Address - Fax:301-677-8176
Practice Address - Street 1:DUNHAM U.S. ARMY HEALTH CLINIC
Practice Address - Street 2:450 GIBNER RD
Practice Address - City:CARLISLE BARRACKS
Practice Address - State:PA
Practice Address - Zip Code:17013-5003
Practice Address - Country:US
Practice Address - Phone:717-245-3056
Practice Address - Fax:717-245-4095
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX3711152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist