Individual
DR. PETER B. LERNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
68 STONY HILL RD, BETHEL, CT 06801-3060
(203) 797-8504
(203) 797-1270
Mailing address
68 STONY HILL RD, BETHEL, CT 06801-3060
(203) 797-8504
(203) 797-1270
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
000901
CT
152WC0802X
Corneal and Contact Management Optometrist
000901
CT
152WL0500X
Low Vision Rehabilitation Optometrist
000901
CT
152WP0200X
Pediatric Optometrist
000901
CT
152WS0006X
Sports Vision Optometrist
000901
CT
152WV0400X
Vision Therapy Optometrist
000901
CT
152WX0102X
Occupational Vision Optometrist
000901
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004110095
—
CT
01
—
24874
CDS ST CONTROLLED SUB NUM
CT
01
—
CT000901
CT LICENSE NUMBER
CT
Enumeration date
11/29/2006
Last updated
03/07/2023
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