MEDICARE: DR. FRANK FAI LEE O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	05779T	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508856477
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANK FAI LEE O.D.

Provider Business Mailing Address
First Line	:	2525 SOUTHMORE AVE # 120
Second Line	:
City	:	PASADENA
State	:	TX
Zip	:	77502-1451
Country	:	US
Telephone Number	:	713-920-2020
Fax Number	:	713-920-1191

Provider Business Practice Location Address
First Line	:	2525 SOUTHMORE AVE # 120
Second Line	:
City	:	PASADENA
State	:	TX
Zip	:	77502-1451
Country	:	US
Telephone Number	:	713-920-2020
Fax Number	:	713-920-1191

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2005
Last Update Date	:	03/17/2025

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Directions to “ DR. FRANK FAI LEE O.D.” Practice Location

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