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
Fax: (536) 541-3947
Website:

Health care specialties

SpecialtyCodeLicense #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 last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619936481 NPPES
California MEDICAID 3111526

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