Provider Demographics
NPI:1114112174
Name:LEE E SCHOEFFLER, M.D., INC.
Entity type:Organization
Organization Name:LEE E SCHOEFFLER, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:LEE
Authorized Official - Middle Name:EARL
Authorized Official - Last Name:SCHOEFFLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:918-492-0066
Mailing Address - Street 1:7171 S YALE AVE
Mailing Address - Street 2:103
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-6374
Mailing Address - Country:US
Mailing Address - Phone:918-492-0066
Mailing Address - Fax:
Practice Address - Street 1:7171 S YALE AVE
Practice Address - Street 2:103
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-6374
Practice Address - Country:US
Practice Address - Phone:918-492-0066
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-12
Last Update Date:2007-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK9418207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty