Provider Demographics
NPI:1881065902
Name:LEFEBVRE EYECARE LLC
Entity type:Organization
Organization Name:LEFEBVRE EYECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:LEFEBVRE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:614-354-0121
Mailing Address - Street 1:5422 BERMUDA BAY DR
Mailing Address - Street 2:APT 1A
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235-7108
Mailing Address - Country:US
Mailing Address - Phone:614-354-0121
Mailing Address - Fax:
Practice Address - Street 1:5752 FRANTZ ROAD
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016
Practice Address - Country:US
Practice Address - Phone:614-396-3696
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-15
Last Update Date:2015-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6095152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1114204195OtherPROVIDER NPI