Healthcare Provider Details

I. General information

NPI: 1780853069
Provider Name (Legal Business Name): DR ERIC LEHR AND ASSOCIATES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2008
Last Update Date: 02/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4201 COLDWATER RD
FORT WAYNE IN
46805-1113
US

IV. Provider business mailing address

6020 E 82ND ST
INDIANAPOLIS IN
46250-4746
US

V. Phone/Fax

Practice location:
  • Phone: 260-484-7487
  • Fax:
Mailing address:
  • Phone: 317-841-0712
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. ERIC C LEHR
Title or Position: OWNER
Credential: O.D.
Phone: 317-841-0712