MEDICARE: LEE AND TWEITO

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	207W00000X	Ophthalmology Physician

General Provider Information

NPI Number	:	1942626791
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEE AND TWEITO

Provider Business Mailing Address
First Line	:	6980 SMOKE RANCH RD
Second Line	:	SUITE 110
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-8605
Country	:	US
Telephone Number	:	702-732-4500
Fax Number	:	702-818-1393

Provider Business Practice Location Address
First Line	:	6980 SMOKE RANCH RD
Second Line	:	SUITE 110
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-8605
Country	:	US
Telephone Number	:	702-732-4500
Fax Number	:	702-818-1393

Authorized Official
Title or Position	:	OWNER/PHYSICIAN
Name	:	DR. KWANG J LEE
Credential	:	MD
Telephone Number	:	702-732-4500

Provider Enumeration Date	:	03/17/2014
Last Update Date	:	02/19/2021

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Directions to “LEE AND TWEITO ” Practice Location

Language	Start Address	Practice Location

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