Provider Demographics
NPI:1861761116
Name:LEE, SEUNG HWAN (OPTICIAN)
Entity type:Individual
Prefix:
First Name:SEUNG
Middle Name:HWAN
Last Name:LEE
Suffix:
Gender:M
Credentials:OPTICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 E. 33RD ST
Mailing Address - Street 2:FRENCH OPTICAL FASHION INC
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-5002
Mailing Address - Country:US
Mailing Address - Phone:212-868-3310
Mailing Address - Fax:212-631-0373
Practice Address - Street 1:7 E. 33RD ST
Practice Address - Street 2:FRENCH OPTICAL FASHION INC
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-5002
Practice Address - Country:US
Practice Address - Phone:212-868-3310
Practice Address - Fax:212-631-0373
Is Sole Proprietor?:No
Enumeration Date:2011-12-15
Last Update Date:2011-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006498-1156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician