MEDICARE: CLAIRE 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
1	152W00000X	Optometrist	736	NV
2	152W00000X	Optometrist	OPC 5120	FL

General Provider Information

NPI Number	:	1780939637
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAIRE M LEE O.D.

Provider Business Mailing Address
First Line	:	50 BISCAYNE BLVD APT 2705
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33132-2937
Country	:	US
Telephone Number	:	650-922-5840
Fax Number	:

Provider Business Practice Location Address
First Line	:	11099 SW 10TH STREET
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33199-2905
Country	:	US
Telephone Number	:	305-348-8439
Fax Number	:	305-348-8330

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2012
Last Update Date	:	12/27/2018

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Directions to “ CLAIRE M LEE O.D.” Practice Location

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