=====================================================
General NPI Number Information
=====================================================
NPI Number | 1811086960
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JEFFREY A. BREWER O.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/12/2006
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6020 E. 82ND ST. DR. ERIC LEHR AND ASSOCIATES, P.C.
-----------------------------------------------------
City | INDIANAPOLIS
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 46250
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 317-841-0712
-----------------------------------------------------
Fax | 317-841-9277
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2415 POSTMASTER LN
-----------------------------------------------------
City | GREENFIELD
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 46140-8431
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 317-326-2305
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 152W00000X
-----------------------------------------------------
Taxonomy Name | Optometrist
-----------------------------------------------------
License Number | 18002307A
-----------------------------------------------------
License Number State | IN
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 152WC0802X
-----------------------------------------------------
Taxonomy Name | Corneal and Contact Management Optometrist
-----------------------------------------------------
License Number | 18002307B
-----------------------------------------------------
License Number State | IN
-----------------------------------------------------