Provider Demographics
NPI:1942293980
Name:LOHR, DAVID II (OD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:LOHR
Suffix:II
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 1:13570 MEADOWGRASS DR STE 205
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80921-3058
Mailing Address - Country:US
Mailing Address - Phone:719-266-9095
Mailing Address - Fax:719-266-9068
Practice Address - Street 1:13570 MEADOWGRASS DR STE 205
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80921-3058
Practice Address - Country:US
Practice Address - Phone:719-266-9095
Practice Address - Fax:719-266-9068
Is Sole Proprietor?:No
Enumeration Date:2005-08-24
Last Update Date:2010-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1859152W00000X, 152WC0802X, 152WP0200X, 152WV0400X
TX5139T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
No152WP0200XEye and Vision Services ProvidersOptometristPediatrics
No152WV0400XEye and Vision Services ProvidersOptometristVision Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO841477360OtherTAX ID
464828Medicare PIN
CO841477360OtherTAX ID