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NPI Code Detail

MEDICARE: DR. JUDY Y. M. LEE O.D.

MEDICARE:  DR. JUDY Y. M. 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
1152W00000XOptometristTUV005665NY

General Provider Information

NPI Number : 1902938368
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JUDY Y. M. LEE O.D.
Provider Business Mailing Address
First Line : 200 SUNRISE MALL
Second Line : VISION CENTER
City : MASSAPEQUA
State : NY
Zip : 11758-4340
Country : US
Telephone Number : 516-799-5261
Fax Number :
Provider Business Practice Location Address
First Line : 25121 JAMAICA # 2027
Second Line :
City : BELLEROSE
State : NY
Zip : 11426-2218
Country : US
Telephone Number : 718-807-3515
Fax Number : 516-488-2003
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2007
Last Update Date : 08/26/2021

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Directions to “ DR. JUDY Y. M. LEE O.D.” Practice Location

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