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JAEHOON LEE OPTOMETRY CORP NPI 1891347076


NPI Information

NPI: 1891347076
Provider Name: JAEHOON LEE OPTOMETRY CORP
Classification: Optometrist - 152W00000X
Entity Type: Organization

CLIA Number: 05D2065164

Address:
71956 MAGNESIA FALLS DR
RANCHO MIRAGE, CA
ZIP 92270
Phone: (760) 674-8806
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JAEHOON LEE OPTOMETRY CORP is an optometrist in Rancho Mirage, CA. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. JAEHOON LEE OPTOMETRY CORP NPI is 1891347076. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

71956 MAGNESIA FALLS DR
RANCHO MIRAGE, CA
ZIP 92270-901
Phone: (760) 674-8806
Fax: (760) 674-8826

The provider's authorized official is Jaehoon Lee .
The authorized official title is Ceo and has the following contact phone number (617) 233-4847.

The CLIA number assigned to this NPI record is 05D2065164 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/9/2019 and was last updated on 7/9/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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