Lee Bottem, D.O., PLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

4175 Issued in OK

Legal business name

LEE BOTTEM, D.O., PLC

Practice address

4700 W Urbana St
Broken Arrow, OK 74012-5997

Phone

(918) 290-2300

Fax

(918) 290-2310

NPI assigned

Jan 29, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lee T Bottem, D.O.

Title

Physician

Phone

(918) 290-2300

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1264723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567728000000",
    "number": "1104157296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 W URBANA ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740125997",
            "telephone_number": "918-290-2300",
            "fax_number": "918-290-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 W URBANA ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740125997",
            "telephone_number": "918-290-2300",
            "fax_number": "918-290-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE BOTTEM, D.O., PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-29",
        "last_updated": "2019-09-06",
        "status": "A",
        "authorized_official_last_name": "BOTTEM",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "918-290-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "4175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Le, PHARM. D.
• Sally Ai Thien Le, D.D.S
• Tri Minh Le, RPH, PHARM.D
• John Robert Leavell III, MA. LPC
• Deborah Susann Leblanc, PA C
• Rachel Shall Lee- Akeredolu, ETC
• Felicia Renee' Lee, M.D.
• John Robert Lee, PHARM.D.
• Lisa Jo Lee
• Mary Lee

• Ophthalmology Physician in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Ophthalmology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.