Provider Demographics
NPI:1760524201
Name:LEHMAN, GARLAND ROBERTS (OD)
Entity Type:Individual
Prefix:DR
First Name:GARLAND
Middle Name:ROBERTS
Last Name:LEHMAN
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 1:135 TOWN CENTER LOOP
Mailing Address - Street 2:
Mailing Address - City:WAYNESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28786-6871
Mailing Address - Country:US
Mailing Address - Phone:828-452-1436
Mailing Address - Fax:828-452-1434
Practice Address - Street 1:141 PARAGON PKWY
Practice Address - Street 2:
Practice Address - City:CLYDE
Practice Address - State:NC
Practice Address - Zip Code:28721-9481
Practice Address - Country:US
Practice Address - Phone:828-452-1436
Practice Address - Fax:828-452-1434
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2016-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1166152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC246470Medicare ID - Type Unspecified