Provider Demographics
NPI:1972694446
Name:LOHR, BRYAN J (OD)
Entity Type:Individual
Prefix:DR
First Name:BRYAN
Middle Name:J
Last Name:LOHR
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 1:1730 LINCOLN WAY E
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-3348
Mailing Address - Country:US
Mailing Address - Phone:717-267-3038
Mailing Address - Fax:717-267-1100
Practice Address - Street 1:1730 LINCOLN WAY E
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-3348
Practice Address - Country:US
Practice Address - Phone:717-267-3038
Practice Address - Fax:717-267-1100
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG001453152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
044591Medicare ID - Type Unspecified
U83252Medicare UPIN