Provider Demographics
NPI:1811328214
Name:DARREN LEE OD AND MICHAEL GEE OD PTR
Entity type:Organization
Organization Name:DARREN LEE OD AND MICHAEL GEE OD PTR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:GEE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:650-345-1644
Mailing Address - Street 1:1291 E HILLSDALE BLVD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:FOSTER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94404-1220
Mailing Address - Country:US
Mailing Address - Phone:650-345-1644
Mailing Address - Fax:650-345-1645
Practice Address - Street 1:1291 E HILLSDALE BLVD
Practice Address - Street 2:SUITE 301
Practice Address - City:FOSTER CITY
Practice Address - State:CA
Practice Address - Zip Code:94404-1220
Practice Address - Country:US
Practice Address - Phone:650-345-1644
Practice Address - Fax:650-345-1645
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-10
Last Update Date:2016-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACA131912Medicare PIN