Provider Demographics
NPI:1396836201
Name:LAMBERT, DON HENRY (OD)
Entity Type:Individual
Prefix:DR
First Name:DON
Middle Name:HENRY
Last Name:LAMBERT
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:PO BOX 169
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:KY
Mailing Address - Zip Code:41527-0169
Mailing Address - Country:US
Mailing Address - Phone:606-237-7196
Mailing Address - Fax:606-237-7205
Practice Address - Street 1:28531 US HIGHWAY 119
Practice Address - Street 2:
Practice Address - City:SOUTH WILLIAMSON
Practice Address - State:KY
Practice Address - Zip Code:41503-3928
Practice Address - Country:US
Practice Address - Phone:606-237-7196
Practice Address - Fax:606-237-7205
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0898DT152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000047056OtherANTHEM BS
WV0149248000Medicaid
KY0610080002OtherMED NSC
KY77008985Medicaid
KY77008985Medicaid
KY9298201Medicare ID - Type Unspecified
KY9142301Medicare ID - Type Unspecified