Robert Lee is a Retina Specialist in South Bend, Indiana. Robert Lee practices all healthcare services and medical treatments related to Retina Specialist. The NPI Number for Robert Lee is 1962401869. The last update date is 2017-07-12.
Robert Lee's current location address is 53822 Generations Dr, South Bend, Indiana. You can contact this provider via phone number 5742333711 and fax number 5742881702. The mailing address for Robert Lee is 53822 Generations Dr, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Lee |
|---|---|
| Address | 53822 Generations Dr, South Bend, Indiana |
| Phone Number | 5742333711 |
| Fax Number | 5742881702 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1962401869 |
|---|---|
| Provider Enumeration Date | 2005-07-21 |
| Last Updated Date | 2017-07-12 |
Provider Mailing Address Detail
| Address | 53822 Generations Dr |
|---|---|
| City | South Bend |
| State | Indiana (IN) |
| Post Code | 466351543 |
| Phone Number | 5742333711 |
| Fax Number | 5742881702 |
Provider's Primary Taxonomy Detail
| Speciality | Retina Specialist |
|---|---|
| Taxonomy | 207Wx0107X |
| Licence No | 01048726A |
|
Definition: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4134100 | MI | -- | |
| 200182540 | IN | -- | |
| 200883090A | IN | -- | |
| 93609 | IN | BLUE SHIELD | |
| 550384 | IN | ANTHEM |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Robert Lee by the Centers for Medicare & Medicaid Services?
The Robert Lee has been issued the NPI (National Provider Identifier) 1962401869, which 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 Robert Lee?
The Robert Lee is situated at 53822 Generations Dr, in the city of South Bend, state of IN, with the zip code 466351543.
What is the area of specialization for Robert Lee, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Robert Lee is Retina Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 207Wx0107X.
When was the Robert Lee's 1962401869 issued?
The Robert Lee's 1962401869 was issued on 2005-07-21.
As of what date were the details pertaining to Robert Lee last refreshed?
The information related to the Robert Lee, including its address, specialty, and other relevant details, was last updated on 2017-07-12.
NPI Number: 1134122146
Address: P. O. Box 31911, Tampa, FL
NPI Number: 1629071758
Address: 1600 Prairie Center Pkwy, Brighton, CO