Provider Demographics
NPI:1760867311
Name:LEHR, TRAVIS (OD)
Entity Type:Individual
Prefix:
First Name:TRAVIS
Middle Name:
Last Name:LEHR
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2424 BABCOCK RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-6031
Mailing Address - Country:US
Mailing Address - Phone:210-692-1388
Mailing Address - Fax:210-692-1388
Practice Address - Street 1:2414 S LOUISE AVE
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57106-4318
Practice Address - Country:US
Practice Address - Phone:605-362-9255
Practice Address - Fax:605-361-0502
Is Sole Proprietor?:No
Enumeration Date:2015-07-24
Last Update Date:2020-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD721152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist