Lee Bottem, D.O., Plc
Lee Bottem, D.O., Plc is a healthcare organization registered as Ophthalmology Physician in Broken Arrow, OK, holding Type 2 (organization) NPI 1104157296 since 2010. The authorized official on file is Lee Bottem, Physician.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104157296 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Lee Bottem, D.O., Plc |
| Practice address | 4700 W URBANA ST, Broken Arrow, OK, 74012 |
| Phone | 9182902300 |
| Fax | 9182902310 |
| Enumeration date | 2010-01-29 |
| Last updated in NPPES | 2019-09-06 |
Authorized official
| Name | Lee Bottem |
|---|---|
| Title | Physician |
| Phone | 9182902300 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207W00000X | Ophthalmology Physician | Primary | 4175 | OK |
Copy-ready billing details
Provider: Lee Bottem, D.O., Plc NPI: 1104157296 Taxonomy: 207W00000X (Ophthalmology Physician) Address: 4700 W URBANA ST, Broken Arrow, OK, 74012
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1679745418 | Lee Bottem | Individual | Ophthalmology Physician | Broken Arrow, OK |
| 1184047953 | Allure Medical Spa of Oklahoma, LLC | Organization | Vascular & Interventional Radiology Physician | Broken Arrow, OK |
| 1740712660 | Susan B. Young Do Plc | Organization | Surgery Physician | Broken Arrow, OK |
| 1023542875 | Osu Center for Health Sciences | Organization | Clinic/Center | Broken Arrow, OK |
Verify this record
Cross-check NPI 1104157296 against the authoritative CMS record: view Lee Bottem, D.O., Plc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Lee Bottem, D.O., Plc located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2019-09-06.