Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LEE THEODORE BOTTEM, D.O.
Active Sole ProprietorLEE THEODORE BOTTEM, D.O. is a Ophthalmology healthcare provider located in BROKEN ARROW, Oklahoma. NPI 1679745418 is currently active in the NPPES registry. Verify at CMS.
Ophthalmology · BROKEN ARROW, OK
Registration Details
- NPI Number
- 1679745418
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 1, 2008 (18.225571923035 yrs)
- Last Updated
- Sep 6, 2019
- License
-
4175 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4700 W URBANA STBROKEN ARROW, OK, 740125997Browse OK providers · Browse ZIP 74012
- Phone
- 9182902300
- Fax
- 9182902310
- Primary Specialty
-
Ophthalmology
207W00000X
Other Ophthalmology Providers in BROKEN ARROW, OK
| Name | Credential | NPI |
|---|---|---|
| ROBERT ELLIS BAKER | DO | 1851369201 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.