Jae Lee
Optician
1630 Pleasant Hill Rd #b11
Duluth
, Georgia 30096
(678) 823-6923
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About
Features
Specialties
- Optician
Languages spoken
- English
Location
First Address
- Jae Lee
- 3624 Dunbar Ln
- Suwanee, GA
- Zip : 30024-7411
- Fax : (678) 823-6923
- Phone : (678) 907-1587
Second Address
- Jae Lee
- 1630 Pleasant Hill Rd #b11
- Duluth, GA
- Zip : 30096
- Fax : (678) 823-6923
- Phone : (678) 894-2161
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 156FX1800X | Optician | LDO002349 | GA |
National Provider Identifier
| NPI | 1013214287 |
|---|---|
| Provider Name | Jae Lee |
| First Address | Suwanee, GA 30024-7411 |
| Second Address | Duluth, GA 30096 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/02/2011 |
| Last Update Date | 23/02/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.