Lerner, Lee David
Lerner, Lee David is an individual health care provider with primary practice located at 381 Moody St , Waltham MA 02453-5208. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Lerner, Lee David can be contacted via phone (781) 894-1094.Contact Information
Primary practice address
381 Moody St
Waltham MA 02453-5208
Phone: (781) 894-1094
Fax: (781) 894-0210
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3526 | Massachusetts |
Profile Details
| NPI number | 1194797001 |
|---|---|
| LBN Legal business name | Lerner, Lee David |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 3rd, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194797001 | NPPES |
| Massachusetts | Other | W16225 | BLUE CROSS BLUE SHIELD |
| Massachusetts | MEDICAID | 0356425 | BLUE CROSS BLUE SHIELD |
| Massachusetts | Other | 112137 | BLUE CROSS BLUE SHIELD |
| Massachusetts | Other | 28445 | BLUE CROSS BLUE SHIELD |
| Massachusetts | Other | 722336 | BLUE CROSS BLUE SHIELD |
| Massachusetts | Other | 152101 | BLUE CROSS BLUE SHIELD |
| Massachusetts | Other | 2200464 | BLUE CROSS BLUE SHIELD |
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