Provider Demographics
NPI:1952376857
Name:LEHTONEN, CHAD (OD)
Entity Type:Individual
Prefix:DR
First Name:CHAD
Middle Name:
Last Name:LEHTONEN
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 1:24 TUXFORD RD
Mailing Address - Street 2:
Mailing Address - City:PITTSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:14534-1527
Mailing Address - Country:US
Mailing Address - Phone:585-233-1748
Mailing Address - Fax:
Practice Address - Street 1:24 TUXFORD RD
Practice Address - Street 2:
Practice Address - City:PITTSFORD
Practice Address - State:NY
Practice Address - Zip Code:14534-1527
Practice Address - Country:US
Practice Address - Phone:585-233-1748
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-22
Last Update Date:2014-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYT0006558152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY7477432OtherAETNA
NYP03006558OtherBLUE CHOICE
NY161305396OtherUNITED HEALTH CARE
NY110109CSOtherPREFERRED CARE
NYP01006558OtherBLUE SHIELD
NYP03006558OtherBLUE CHOICE
NY161305396OtherUNITED HEALTH CARE