Provider Demographics
NPI:1922001593
Name:LASHER, DONALD R (OD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:R
Last Name:LASHER
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 1:225 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LAKEPORT
Mailing Address - State:CA
Mailing Address - Zip Code:95453-5018
Mailing Address - Country:US
Mailing Address - Phone:707-263-0101
Mailing Address - Fax:707-263-4251
Practice Address - Street 1:225 S MAIN ST
Practice Address - Street 2:
Practice Address - City:LAKEPORT
Practice Address - State:CA
Practice Address - Zip Code:95453-5018
Practice Address - Country:US
Practice Address - Phone:707-263-0101
Practice Address - Fax:707-263-4251
Is Sole Proprietor?:No
Enumeration Date:2005-05-27
Last Update Date:2008-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9538T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGSD000940Medicaid
CA410045239OtherRAILROAD MEDICARE
CASD0095380Medicaid
CAGSD000940Medicaid
CA0948290001Medicare NSC
CASD0095380Medicaid
CASD0095380Medicare PIN