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NPI Code Detail

MEDICARE: MEI LEE FLEMING OD

MEDICARE:   MEI LEE FLEMING  OD
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
1152W00000XOptometrist11635TCA

General Provider Information

NPI Number : 1578558706
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEI LEE FLEMING OD
Provider Business Mailing Address
First Line : 5 MORAGA VALLEY LN
Second Line :
City : MORAGA
State : CA
Zip : 94556-1156
Country : US
Telephone Number : 925-330-1512
Fax Number :
Provider Business Practice Location Address
First Line : 3201 DANVILLE BLVD
Second Line : SUITE 165
City : ALAMO
State : CA
Zip : 94507-1938
Country : US
Telephone Number : 925-820-6622
Fax Number : 925-820-5226
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2005
Last Update Date : 07/08/2007

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Directions to “ MEI LEE FLEMING OD” Practice Location

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