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General NPI Number Information
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NPI Number | 1487647848
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Entity Type | Individual
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Provider Name | BENJAMIN F LEE OD
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Gender | Male
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Dates
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Enumeration Date | 08/31/2005
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Last Update Date | 11/14/2017
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Provider Practice Location Address
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Address Line | 7020 SIX FORKS RD
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City | RALEIGH
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State | NC
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Zip | 27615-6430
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Country | US
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Telephone | 919-847-5957
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Fax | 919-846-3951
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Provider Business Mailing Address
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Address Line | 7100 SIX FORKS RD SUITE 301
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City | RALEIGH
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State | NC
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Zip | 27615-6156
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Country | US
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Telephone | 919-847-0187
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Fax | 919-676-2231
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1497
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License Number State | NC
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