MEDICARE: DR. SHARON WAI-MON 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	12404T	CA

General Provider Information

NPI Number	:	1982696100
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHARON WAI-MON LEE O.D.

Provider Business Mailing Address
First Line	:	355 TERESITA BLVD
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94127-1847
Country	:	US
Telephone Number	:	415-387-8887
Fax Number	:

Provider Business Practice Location Address
First Line	:	1719 NORIEGA ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94122-4307
Country	:	US
Telephone Number	:	415-351-2000
Fax Number	:

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

Provider Enumeration Date	:	08/16/2005
Last Update Date	:	03/17/2018

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