Healthcare Provider Details

I. General information

NPI: 1871682013
Provider Name (Legal Business Name): JACKIE L. DOYLE O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DR. ERIC LEHR AND ASSOCIATES, P.C. 6020 E. 82ND ST.
INDIANAPOLIS IN
46250
US

IV. Provider business mailing address

9400 FALL CREEK RD
INDIANAPOLIS IN
46256-4706
US

V. Phone/Fax

Practice location:
  • Phone: 317-841-0712
  • Fax:
Mailing address:
  • Phone: 317-845-0065
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number18002157A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number18002157B
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: