Provider Demographics
NPI:1942464854
Name:LEE, BARKLEY CHIN (OD)
Entity Type:Individual
Prefix:DR
First Name:BARKLEY
Middle Name:CHIN
Last Name:LEE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3100 E IMPERIAL HWY # 1000A
Mailing Address - Street 2:
Mailing Address - City:LYNWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90262-3232
Mailing Address - Country:US
Mailing Address - Phone:310-763-2407
Mailing Address - Fax:310-763-4644
Practice Address - Street 1:3100 E IMPERIAL HWY # 1000A
Practice Address - Street 2:
Practice Address - City:LYNWOOD
Practice Address - State:CA
Practice Address - Zip Code:90262-3232
Practice Address - Country:US
Practice Address - Phone:310-763-2407
Practice Address - Fax:310-763-4644
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-10
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA5555152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist