Lehmann, Mark Matthew
Lehmann, Mark Matthew is an individual health care provider with primary practice located at 2074 Lake Tahoe Blvd Ste 2 , S Lake Tahoe CA 96150-6408. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Lehmann, Mark Matthew can be contacted via phone (530) 541-2030.Contact Information
Primary practice address
2074 Lake Tahoe Blvd Ste 2
S Lake Tahoe CA 96150-6408
Phone: (530) 541-2030
Fax: (536) 541-3947
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 10225T | California |
Profile Details
| NPI number | 1619936481 |
|---|---|
| LBN Legal business name | Lehmann, Mark Matthew |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2006 |
| Last updated | Mar 7th, 2023 - about 2 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 | 1619936481 | NPPES |
| California | MEDICAID | 3111526 |
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