Individual
JAMES DONALD LOHRBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1104 NORTH VERMILION STREET, DANVILLE, IL 61832
(217) 442-2631
(217) 442-0119
Mailing address
1104 NORTH VERMILION STREET, DANVILLE, IL 61832
(217) 442-2361
(217) 442-0119
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046008041
IL
152W00000X
Optometrist
18002343A
IN
152W00000X
Optometrist
18002343A&18002343B
IN
152W00000X
Optometrist
18002343B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004073
HEALTH ALLIANCE INSURANCE
—
05
—
046008041
—
IL
01
—
100314050A
MEDICAID
IN
01
—
1269286LOHR
UNITED MINE WORKERS
—
01
—
180031597
MEDICARE RAILROAD
—
01
—
189575
HIGHMARK PENN BLUESHIELD
—
Enumeration date
07/13/2006
Last updated
11/10/2014
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