Individual provider Active NPI

Elisabeth Erin Lehr, O.D.

  • Optometrist
  • Rupert, ID
National Provider Identifier
1467807933
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODP-100425 Issued in ID
Practice address
714 G St
Rupert, ID 83350-1612
Phone
(208) 436-3455
Fax
(208) 436-3815
NPI assigned
May 3, 2016
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046010983 IL
Optometrist 152W00000X ODP-100425 ID Primary

Addresses

Primary practice location

714 G St
Rupert, ID 83350-1612

Mailing address

714 G St
Rupert, ID 83350-1612
Phone (208) 436-3455

Other practice location 1

3241 S Michigan Ave
Chicago, IL 60616-4201
Phone (312) 949-7751

Other names 1

  • Elisabeth Erin Anderson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20171016000721 ID Practitioner - Optometry 9537459474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Vision and Eye Care PAGroup PAC ID 8729973755, 2 clinicians

Practice addresses (Care Compare)

714 G St
Rupert, ID 83350-1612
Phone (208) 436-3455

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ODP-100425IDMDOptometrist
046010983ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Vision and Eye Care PA Optometrist CurrentSince Sep 3, 2017 Accepting new patients

Locations

714 G St
Rupert, ID 83350
Phone (208) 436-3455

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1467807933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 G ST",
            "city": "RUPERT",
            "state": "ID",
            "postal_code": "833501612",
            "telephone_number": "208-436-3455",
            "fax_number": "208-436-3815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 G ST",
            "city": "RUPERT",
            "state": "ID",
            "postal_code": "833501612",
            "telephone_number": "208-436-3455",
            "fax_number": "208-436-3815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3241 S Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606164201",
            "country_code": "US",
            "telephone_number": "312-949-7751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEHR",
        "first_name": "ELISABETH",
        "middle_name": "ERIN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010983",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISABETH",
            "last_name": "ANDERSON",
            "middle_name": "ERIN",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rupert, ID

Sources for this page

Verify at the official NPI Registry.