Provider Demographics
NPI:1447211289
Name:LEHR, JOHN T (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:T
Last Name:LEHR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1911 N MILLS AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-1432
Mailing Address - Country:US
Mailing Address - Phone:407-893-8200
Mailing Address - Fax:407-893-8220
Practice Address - Street 1:1911 N MILLS AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803
Practice Address - Country:US
Practice Address - Phone:407-893-8200
Practice Address - Fax:407-893-8220
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME63300207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL372657600Medicaid
FL1122927OtherUNITED HEALTH CARE
FL1722927OtherWELL CARE
FL5796961OtherGHI
FL4512471OtherAETNAPPO/POS
FL1607709OtherCIGNA
FL180016421OtherAETNA HMO
FL18766OtherBCBS
FL18766OtherBCBS
FL1122927OtherUNITED HEALTH CARE
FL18766OtherBCBS
E56817Medicare UPIN