Provider Demographics
NPI:1750563177
Name:STEVEN J LEHR
Entity type:Organization
Organization Name:STEVEN J LEHR
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:LEHR
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:402-826-2246
Mailing Address - Street 1:1119 MAIN AVE
Mailing Address - Street 2:
Mailing Address - City:CRETE
Mailing Address - State:NE
Mailing Address - Zip Code:68333-2259
Mailing Address - Country:US
Mailing Address - Phone:402-826-2246
Mailing Address - Fax:402-826-3612
Practice Address - Street 1:1119 MAIN AVE
Practice Address - Street 2:
Practice Address - City:CRETE
Practice Address - State:NE
Practice Address - Zip Code:68333-2259
Practice Address - Country:US
Practice Address - Phone:402-826-2246
Practice Address - Fax:402-826-3612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-27
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE802152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE=========Medicaid
NE=========Medicaid
NE093883Medicare PIN