Kenny Benjamin Lee in Beaverton - Optometrist
Kenny Benjamin Lee - NPI 1619905866
Kenny Benjamin Lee is a Optometrist in Beaverton, Oregon. Kenny Benjamin Lee practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Kenny Benjamin Lee is 1619905866. The last update date is 2007-07-08.
Kenny Benjamin Lee's current location address is 17184 Sw Artesian Dr, Beaverton, Oregon. You can contact this provider via phone number 5035338441 and fax number 5035338403. The mailing address for Kenny Benjamin Lee is 17184 Sw Artesian Dr, Beaverton, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenny Benjamin Lee |
|---|---|
| Address | 17184 Sw Artesian Dr, Beaverton, Oregon |
| Phone Number | 5035338441 |
| Fax Number | 5035338403 |
| Sole Proprietor | N |
| Credentials | O.D |
NPI Number Detail
| NPI Number | 1619905866 |
|---|---|
| Provider Enumeration Date | 2006-06-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 17184 Sw Artesian Dr |
|---|---|
| City | Beaverton |
| State | Oregon (OR) |
| Post Code | 970064990 |
| Phone Number | 5035338441 |
| Fax Number | 5035338403 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 2878AT |
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Definition: 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 181436 | OR | -- |
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What is the unique identification code assigned to Kenny Benjamin Lee by the Centers for Medicare & Medicaid Services?
The Kenny Benjamin Lee has been issued the NPI (National Provider Identifier) 1619905866. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kenny Benjamin Lee?
The Kenny Benjamin Lee is situated at 17184 Sw Artesian Dr, in the city of Beaverton, state of OR, with the zip code 970064990.
What is the Kenny Benjamin Lee's specialty and taxonomy code?
The Kenny Benjamin Lee's specialty is Optometrist, and the corresponding taxonomy code is 152W00000X.
When did Kenny Benjamin Lee receive its 1619905866 assignment?
The Kenny Benjamin Lee was assigned its 1619905866 on 2006-06-28, which is the date when this unique identifier was issued to the organization.
When was the Kenny Benjamin Lee's information last updated?
The Kenny Benjamin Lee's information was last updated on 2007-07-08.