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NPI 1871644757

NPI 1871644757 : WILLIAM P LEE O.D. : SAN JOSE, CA

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General NPI Number Information
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    NPI Number           |    1871644757
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    Entity Type          |    Individual 
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    Provider Name        |    WILLIAM P LEE O.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/16/2007
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    Last Update Date     |    09/08/2025
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Provider Practice Location Address
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    Address Line         |    55 E JULIAN ST 
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    City                 |    SAN JOSE
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    State                |    CA
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    Zip                  |    95112-4007
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    Country              |    US
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    Telephone            |    408-918-2600
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    160 E VIRGINIA ST STE 100 
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    City                 |    SAN JOSE
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    State                |    CA
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    Zip                  |    95112-5865
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    Country              |    US
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    Telephone            |    408-579-6178
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    Fax                  |    408-579-6178
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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       |    10016
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    License Number State |    CA
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