Jessica Lee, OD | |
23 W Palisade Ave, Englewood, NJ 07631-2705 | |
(201) 408-4441 | |
Not Available |
Full Name | Jessica Lee |
---|---|
Gender | Female |
Speciality | Optometry |
Experience | 6 Years |
Location | 23 W Palisade Ave, Englewood, New Jersey |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194204578 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 008860 (New York) | Secondary |
152W00000X | Optometrist | 27OA00683500 (New Jersey) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Nj Eye And Ear, Llc | 6002174737 | 27 |
Provider Name | Nj Eye And Ear, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1356860811 PECOS PAC ID: 6002174737 Enrollment ID: O20171229000145 |
Mailing Address | Practice Location Address |
---|---|
Jessica Lee, OD 23 W Palisade Ave, Englewood, NJ 07631-2705 Ph: (201) 408-4441 | Jessica Lee, OD 23 W Palisade Ave, Englewood, NJ 07631-2705 Ph: (201) 408-4441 |
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