MEDICARE: DR. GILBERT K. LEHR OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	27OA00266800	NJ

General Provider Information

NPI Number	:	1851453625
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GILBERT K. LEHR OD

Provider Business Mailing Address
First Line	:	778 US HIGHWAY 1
Second Line	:
City	:	NORTH BRUNSWICK
State	:	NJ
Zip	:	08902-3344
Country	:	US
Telephone Number	:	732-828-6033
Fax Number	:	732-846-4455

Provider Business Practice Location Address
First Line	:	778 US HIGHWAY 1
Second Line	:
City	:	NORTH BRUNSWICK
State	:	NJ
Zip	:	08902-3344
Country	:	US
Telephone Number	:	732-828-6033
Fax Number	:	732-846-4455

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2006
Last Update Date	:	07/08/2007

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