Individual provider Active NPI

Laura Z. Lehman, O.D.

  • Optometrist
  • Malvern, PA
National Provider Identifier
1114124385
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002171 Issued in PA
Practice address
12 General Warren Blvd Ste 700
Malvern, PA 19355-1263
Phone
(610) 448-9910
Fax
(610) 448-9908
NPI assigned
Jun 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001668 VA
Optometrist 152W00000X OEG002171 PA Primary

Addresses

Primary practice location

12 General Warren Blvd Ste 700
Malvern, PA 19355-1263

Mailing address

12 General Warren Blvd Ste 700
Malvern, PA 19355-1263
Phone (610) 448-9910

Other practice location 1

1244 Fort Washington Ave
Fort Washington, PA 19034-1743
Phone (215) 694-8600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091210000636 PA Practitioner - Optometry 4486748126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12 General Warren Blvd
Suite 700
Malvern, PA 19355-1263
Phone (610) 448-9910

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG002171PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Visualeyes Optique PLLC Optometrist CurrentSince Oct 30, 2018 Accepting new patients
Lebow Eye Associates, P.C. Optometrist Past Accepting new patients
Lebow Eye Associates, P.C. Optometrist Past Accepting new patients

Locations

12 General Warren Blvd
Ste 700
Malvern, PA 19355
Phone (610) 448-9910

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1114124385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 GENERAL WARREN BLVD STE 700",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551263",
            "telephone_number": "610-448-9910",
            "fax_number": "610-448-9908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 GENERAL WARREN BLVD STE 700",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551263",
            "telephone_number": "610-448-9910",
            "fax_number": "610-448-9908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1244 Fort Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Washington",
            "state": "PA",
            "postal_code": "190341743",
            "country_code": "US",
            "telephone_number": "215-694-8600",
            "fax_number": "215-643-2730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEHMAN",
        "first_name": "LAURA",
        "middle_name": "Z.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001668",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malvern, PA

Sources for this page

Verify at the official NPI Registry.