Provider Demographics
NPI:1164562013
Name:LEHR, ERIC C (OD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:C
Last Name:LEHR
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4904 WOODFIELD DR
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46033-9427
Mailing Address - Country:US
Mailing Address - Phone:317-815-0771
Mailing Address - Fax:317-841-3277
Practice Address - Street 1:6020 E 82ND ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46250-4746
Practice Address - Country:US
Practice Address - Phone:317-841-0712
Practice Address - Fax:317-841-3277
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN18002140152W00000X
IN18002140B152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered152W00000XEye and Vision Services ProvidersOptometrist
Not Answered152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
INT91092Medicare UPIN
IN138650CMedicare ID - Type Unspecified