Provider Demographics
NPI:1205837622
Name:LOHMUELLER, CAROL A (OD)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:A
Last Name:LOHMUELLER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:CAROL
Other - Middle Name:A
Other - Last Name:LECHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:47006-680
Mailing Address - Street 2:
Mailing Address - City:CAUCASIAN
Mailing Address - State:IN
Mailing Address - Zip Code:47006-6808
Mailing Address - Country:US
Mailing Address - Phone:181-261-4262
Mailing Address - Fax:812-933-0913
Practice Address - Street 1:1049 STATE ROAD 229
Practice Address - Street 2:
Practice Address - City:BATESVILLE
Practice Address - State:IN
Practice Address - Zip Code:47006-6808
Practice Address - Country:US
Practice Address - Phone:812-934-2117
Practice Address - Fax:812-933-0913
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN18002702B152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100389890Medicaid
IN000000083873OtherBLUE CROSS BLUE SHIELD
INLE181390Medicare ID - Type Unspecified
INU50879Medicare UPIN