So Yeon Lee (NPI# 1518093160, PAC ID# 8022107572) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1518093160 |
| PAC ID by PECOS | 8022107572 |
| Professional Enrollment ID | I20150129001510 |
| Full Name | So Yeon Lee |
| Organization Legal Name | NOVA SOUTHEASTERN UNIVERSITY, INC |
| Address |
650 N Andrews Ave Eye Institute Ft Lauderdale FL 33311-7436 |
| Phone Number | 9542624343 |
| Gender | F |
| Medical School | ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO |
| Graduation Year | 2006 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 4486568896 |
| Number of Group Practice Members | 78 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3200 S University Dr, Fl 1, Davie, FL 33328-2018 | 9542624343 | NOVA SOUTHEASTERN UNIVERSITY, INC |
| 3200 S University Dr, Ft Lauderdale, FL 33328-2018 | 9542624343 | NOVA SOUTHEASTERN UNIVERSITY, INC |
| 3200 S University Dr, All Specialties, Ft Lauderdale, FL 33328-2018 | 9542624343 | NOVA SOUTHEASTERN UNIVERSITY, INC |
| 650 N Andrews Ave, Eye Institute, Ft Lauderdale, FL 33311-7436 | 9542624343 | NOVA SOUTHEASTERN UNIVERSITY, INC |
| Organization Legal Name | NOVA SOUTHEASTERN UNIVERSITY, INC |
| Physicians | 108 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charis-ann Ricketts | Optometry | Nova Southeastern University, Inc | 1111 W Broward Blvd, Eye Institute, Ft Lauderdale, FL 33312-1638 |
| Lissette Lazo | Family Medicine | Nova Southeastern University, Inc | 9241 W Broward Blvd, Plantation, FL 33324-2454 |
| Man Kin Chow | Optometry | Nova Southeastern University, Inc | 1750 Ne167th St, North Miami Beach, FL 33162-3017 |
| Almas Khan | Optometry | Nova Southeastern University, Inc | 819 Ne26th St, Wilton Manors, FL 33305-1239 |
| Leticia Alexandra Rousso | Optometry | Nova Southeastern University, Inc | 3200 S University Dr, Fl 1, Davie, FL 33328-2018 |
| Patrick E Barry | Osteopathic Manipulative Medicine | Nova Southeastern University, Inc | 3321 College Ave, Suite 405, Davie, FL 33314-7705 |
| Alessandra Posey | Family Medicine | Nova Southeastern University, Inc | 3301 College Ave, Davie, FL 33314-7796 |
| Barbara Arcos | Family Medicine | Nova Southeastern University, Inc | 1750 N E 167th St, North Miami, FL 33329-0250 |
| Julia P Andrews | Audiologist | Nova Southeastern University, Inc | 3600 S University Dr, Hearing and Balance Clinic, Davie, FL 33328-2709 |
| Beata I Lewandowska | Optometry | Nova Southeastern University, Inc | 1750 Ne 167th St, North Miami Beach, FL 33162-3017 |
| Street Address |
650 N ANDREWS AVE EYE INSTITUTE |
| City | FT LAUDERDALE |
| State | FL |
| Zip | 33311-7436 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samantha Mcintosh | Optometry | Nova Southeastern University, Inc | 650 N Andrews Ave, Eye Institute, Ft Lauderdale, FL 33311-7436 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Charles Carney | Physical Medicine and Rehabilitation | Catholic Health Services Inc | 3487 Nw30th St, Lauderdale Lakes, FL 33311-1103 |
| Bashir U Shaikh | Internal Medicine | North Broward Hospital District | Bh Lauderdale Lakes Hlth Ctr, 3716 W Oakland Blvd, Lauderdale Lakes, FL 33311-1134 |
| Robert D Schickler | Obstetrics/gynecology | North Broward Hospital District | Bh Lauderdale Lakes Hlth Ctr, 3716 W Oakland Blvd, Lauderdale Lakes, FL 33311-1134 |
| Javier Archilla | Optometry | Mobile Doctors of Florida Pa | 3670 W Oakland Park Boulevard, Lauderdale Lakes, FL 33311-1148 |
| Pierre A Gaston | General Practice | 2901 W Oakland Park Blvd, A 4 5, Oakland Park, FL 33311-1243 | |
| Emmanuel Eloi | General Practice | 2764 W Oakland Park Blvd, Ft Lauderdale, FL 33311-1336 | |
| Arlene B Crystal | Clinical Social Worker | 2880 W Oakland Park Blvd, Suite 226, Oakland Park, FL 33311-1368 | |
| Claudia Navas | Diagnostic Radiology | Elite Imaging LLC | 1799 W Oakland Park Blvd, Suite 105, Oakland Park, FL 33311-1537 |
| Louis M Newman | Podiatry | 512 W Oakland Park Blvd, Wilton Manors, FL 33311-1726 | |
| Mary B Lopez | Clinical Psychologist | Center for Clinical and Forensic Psychology Inc | 2251 Nw29th Ct, Oakland Park, FL 33311-2147 |
| Find all physicians in zip 33311 | |||
| City | FT LAUDERDALE |
| Zip Code | 33311 |
| Specialty | OPTOMETRY |
| City + Specialty | FT LAUDERDALE + OPTOMETRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.