Provider Demographics
NPI:1104086495
Name:LEE, MUIK (OPTICIAN)
Entity type:Individual
Prefix:MR
First Name:MUIK
Middle Name:
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 1:743 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-2042
Mailing Address - Country:US
Mailing Address - Phone:215-855-4205
Mailing Address - Fax:215-855-4206
Practice Address - Street 1:743 W MAIN ST
Practice Address - Street 2:
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446-2042
Practice Address - Country:US
Practice Address - Phone:215-855-4205
Practice Address - Fax:215-855-4206
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-11
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician