Active NPI
Elisabeth Erin Lehr, O.D.
- Optometrist
- Rupert, ID
National Provider Identifier
1467807933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- ODP-100425
- 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, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
Practice addresses (Care Compare)
714 G St
Rupert, ID 83350-1612
Phone (208) 436-3455
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 21 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ODP-100425 | ID | MD | Optometrist |
| 046010983 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Vision and Eye Care PA | Optometrist | Current | 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.
-
- Optometrist
- Rupert, ID
- NPI 1043382609
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.