Provider Demographics
NPI:1780100941
Name:INSIGHT EYE CARE PROFESSIONALS, P.C.
Entity type:Organization
Organization Name:INSIGHT EYE CARE PROFESSIONALS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TRAVIS
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:LEHR
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:605-362-9255
Mailing Address - Street 1:2414 S LOUISE AVE
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57106-4318
Mailing Address - Country:US
Mailing Address - Phone:605-362-9255
Mailing Address - Fax:605-361-0502
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD721152WC0802X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Single Specialty