| Inwhan Joshua Lee, OD | |
|
33 W 42nd St, New York, NY 10036-8005 | |
| (888) 601-8811 | |
| Not Available |
| Full Name | Inwhan Joshua Lee |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 3 Years |
| Location | 33 W 42nd St, New York, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629777545 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | RT009883 (New York) | Primary |
| 152W00000X | Optometrist | 35378 (California) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern California Permanente Medical Group | 6002729175 | 9038 |
| Provider Name | Southern California Permanente Medical Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Inwhan Joshua Lee, OD 33 W 42nd St, New York, NY 10036-8005 Ph: (888) 601-8811 | Inwhan Joshua Lee, OD 33 W 42nd St, New York, NY 10036-8005 Ph: (888) 601-8811 |
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