Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lee Theodore Bottem, DO

Individual provider Ophthalmology Physician · NPI 1679745418

Lee Theodore Bottem, DO is an Ophthalmology Physician in Broken Arrow, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2008
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4700 W Urbana St
Broken Arrow, OK 74012-5997
Phone: (918) 290-2300
Fax: (918) 290-2310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 4175 (OK)

Record details

NPI number1679745418
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 1, 2008
Last updated in NPPESSeptember 6, 2019
Mailing address4700 W Urbana St, Broken Arrow, OK 74012-5997

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