Provider Demographics
NPI:1780853069
Name:DR ERIC LEHR AND ASSOCIATES, P.C.
Entity type:Organization
Organization Name:DR ERIC LEHR AND ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:C
Authorized Official - Last Name:LEHR
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:317-841-0712
Mailing Address - Street 1:6020 E 82ND ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46250-4746
Mailing Address - Country:US
Mailing Address - Phone:317-841-0712
Mailing Address - Fax:
Practice Address - Street 1:4201 COLDWATER RD
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46805-1113
Practice Address - Country:US
Practice Address - Phone:260-484-7487
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-21
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN138650Medicare Oscar/Certification