Provider Demographics
NPI:1811086960
Name:BREWER, JEFFREY A (OD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:A
Last Name:BREWER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2415 POSTMASTER LN
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46140-8431
Mailing Address - Country:US
Mailing Address - Phone:317-326-2305
Mailing Address - Fax:
Practice Address - Street 1:6020 E. 82ND ST.
Practice Address - Street 2:DR. ERIC LEHR AND ASSOCIATES, P.C.
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46250
Practice Address - Country:US
Practice Address - Phone:317-841-0712
Practice Address - Fax:317-841-9277
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN18002307A152W00000X
IN18002307B152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered152W00000XEye and Vision Services ProvidersOptometrist
Not Answered152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN18002307AOtherSTATE LICENSE
IN18002307AOtherSTATE LICENSE