Lifetime Vision Source Of Lebanon Llc in Lebanon - Optometrist

Lifetime Vision Source Of Lebanon Llc - NPI 1710168877

Lifetime Vision Source Of Lebanon Llc is a Optometrist in Lebanon, Oregon. Lifetime Vision Source Of Lebanon Llc practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Lifetime Vision Source Of Lebanon Llc is 1710168877. The last update date is 2008-12-02.

Lifetime Vision Source Of Lebanon Llc's current location address is 90 Market St, Lebanon, Oregon. You can contact this provider via phone number 5414511144 and fax number 5414511785. The mailing address for Lifetime Vision Source Of Lebanon Llc is 90 Market St, Lebanon, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Organization Lifetime Vision Source Of Lebanon Llc
Address 90 Market St, Lebanon, Oregon
Phone Number 5414511144
Fax Number 5414511785
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Turrentine Teresa
Telephone Number 5414511144

NPI Number Detail

NPI Number 1710168877
Provider Enumeration Date 2007-11-16
Last Updated Date 2008-12-02

Provider Mailing Address Detail

Address 90 Market St
City Lebanon
State Oregon (OR)
Post Code 973552394
Phone Number 5414511144
Fax Number 5414511785

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 1400ATI
Definition:
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
128772 OR --
232983 OR --

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FAQs about Lifetime Vision Source Of Lebanon Llc

What is the unique 10-digit identifier code assigned to Lifetime Vision Source Of Lebanon Llc by the Centers for Medicare & Medicaid Services?

The Lifetime Vision Source Of Lebanon Llc has been issued the NPI (National Provider Identifier) 1710168877 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Lifetime Vision Source Of Lebanon Llc?

The Lifetime Vision Source Of Lebanon Llc is physically situated at 90 Market St, in the city of Lebanon, state of OR, with the postal code 973552394.

What is the Lifetime Vision Source Of Lebanon Llc's specialty and taxonomy code?

The Lifetime Vision Source Of Lebanon Llc's specialty is Optometrist, and the corresponding taxonomy code is 152W00000X.

When did the Lifetime Vision Source Of Lebanon Llc receive its 1710168877?

The Lifetime Vision Source Of Lebanon Llc was issued its 1710168877 on 2007-11-16, which is the date when the organization was assigned this unique identifier.

When was the information regarding Lifetime Vision Source Of Lebanon Llc most recently updated?

The details pertaining to the Lifetime Vision Source Of Lebanon Llc, including its address, specialty, and other relevant information, were last refreshed on 2008-12-02.

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