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:
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Health care specialties

SpecialtyCodeLicense #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 17 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.

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Identifiers

StateTypeNumberIssuer
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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