Lifetime Vision Care

LBN: Lifetime Vision Care
Lifetime Vision Care is an health care organization with primary practice located at 901 Nw Carlon Ave Suite 2, Bend OR 97703-2636. 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 Care can be contacted via phone (541) 382-3242, or through Sandberg, Derri via phone (541) 382-3242.

Contact Information

Primary practice address
901 Nw Carlon Ave Suite 2 Bend OR 97703-2636
Phone: (541) 382-3242
Fax: (541) 317-3579
Website:
Map and Directions
Authorized official contact:
Name: Sandberg, Derri Doctor of Optometry (OD)
Phone: (541) 382-3242

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3213ATI Oregon

Profile Details

NPI number 1508961731
LBN Legal business name Lifetime Vision Care
DBA Doing business as
Authorized official Sandberg, Derri Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2006
Last updated Jul 14th, 2015 - about 10 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 1508961731 NPPES
Oregon Other R163759 MEDICARE PTAN

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