Provider Demographics
NPI:1366572950
Name:DR. LEHR AND ASSOCIATES, P.C.
Entity type:Organization
Organization Name:DR. LEHR AND ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:FAGIN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:317-841-0712
Mailing Address - Street 1:LENSCRAFTERS
Mailing Address - Street 2:6020 E. 82ND ST.
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46250
Mailing Address - Country:US
Mailing Address - Phone:317-841-0712
Mailing Address - Fax:
Practice Address - Street 1:LENSCRAFTERS
Practice Address - Street 2:6020 E. 82ND ST.
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46250
Practice Address - Country:US
Practice Address - Phone:317-841-0712
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Not Answered152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN138650Medicare ID - Type Unspecified