Provider Demographics
NPI:1851453625
Name:LEHR, GILBERT K (OD)
Entity type:Individual
Prefix:DR
First Name:GILBERT
Middle Name:K
Last Name:LEHR
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:778 US HIGHWAY 1
Mailing Address - Street 2:
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-3344
Mailing Address - Country:US
Mailing Address - Phone:732-828-6033
Mailing Address - Fax:732-846-4455
Practice Address - Street 1:778 US HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:NORTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902-3344
Practice Address - Country:US
Practice Address - Phone:732-828-6033
Practice Address - Fax:732-846-4455
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00266800152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJU39323Medicare UPIN
521772Medicare ID - Type Unspecified