Provider Demographics
NPI:1285865139
Name:LEHMAN, BRET M (OD, MS, FAAO)
Entity Type:Individual
Prefix:DR
First Name:BRET
Middle Name:M
Last Name:LEHMAN
Suffix:
Gender:M
Credentials:OD, MS, FAAO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3221 W 86TH ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46268-3606
Mailing Address - Country:US
Mailing Address - Phone:317-872-3230
Mailing Address - Fax:
Practice Address - Street 1:3221 W 86TH ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46268-3606
Practice Address - Country:US
Practice Address - Phone:317-872-3230
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-27
Last Update Date:2016-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5878152W00000X
IN18003943A152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist