Lifetime Vision 20/20

LBN: Lifetime Vision 20/20
Lifetime Vision 20/20 is an health care organization with primary practice located at 300 2Nd Ave Ne Ste 102 , Jamestown ND 58401-3373. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Lifetime Vision 20/20 can be contacted via phone (701) 252-2020, or through Wiest, Courtney via phone (701) 252-2020.

Contact Information

Primary practice address
300 2Nd Ave Ne Ste 102 Jamestown ND 58401-3373
Phone: (701) 252-2020
Fax: (701) 251-2801
Website:
Map and Directions
Authorized official contact:
Name: Wiest, Courtney
Phone: (701) 252-2020

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 486 North Dakota
Eye and Vision Services Providers / Optometrist 152W00000X 502 North Dakota

Profile Details

NPI number 1912052234
LBN Legal business name Lifetime Vision 20/20
DBA Doing business as
Authorized official Wiest, Courtney
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2007
Last updated Oct 5th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912052234 NPPES
North Dakota MEDICAID 60038

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