Lifetime Eye Care Of Rochester Inc in Rochester - Eyewear Supplier

Lifetime Eye Care Of Rochester Inc - NPI 1316107790

Lifetime Eye Care Of Rochester Inc is a Eyewear Supplier in Rochester, Minnesota. Lifetime Eye Care Of Rochester Inc practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Lifetime Eye Care Of Rochester Inc is 1316107790. The last update date is 2009-04-01.

Lifetime Eye Care Of Rochester Inc's current location address is 3632 10th Ln Nw, Rochester, Minnesota. You can contact this provider via phone number 5072827121. The mailing address for Lifetime Eye Care Of Rochester Inc is 3632 10th Ln Nw, Rochester, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Lifetime Eye Care Of Rochester Inc
Address 3632 10th Ln Nw, Rochester, Minnesota
Phone Number 5072827121
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OPTOMETRIS
Authorized Official Name Anderson Leon Jeffrey
Credentials O.D.
Telephone Number 5072827121

NPI Number Detail

NPI Number 1316107790
Provider Enumeration Date 2008-06-10
Last Updated Date 2009-04-01

Provider Mailing Address Detail

Address 3632 10th Ln Nw
City Rochester
State Minnesota (MN)
Post Code 559017032
Phone Number 5072827121
Fax Number

Provider's Primary Taxonomy Detail

Speciality Eyewear Supplier
Taxonomy 332H00000X
Licence No 2665
Definition:
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
09Y97AN MN BLUE CROSS BLUE SHIELD
09Y99LI MN BLUE CROSS BLUE SHIELD
09Y96LI MN BLUE CROSS BLUE SHIELD
09Y98SI MN BLUE CROSS BLUE SHIELD

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FAQs about Lifetime Eye Care Of Rochester Inc

What is the unique identifier code issued to Lifetime Eye Care Of Rochester Inc by the Centers for Medicare & Medicaid Services?

The Lifetime Eye Care Of Rochester Inc has been assigned the NPI (National Provider Identifier) 1316107790. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Lifetime Eye Care Of Rochester Inc's facilities are situated?

The facilities of Lifetime Eye Care Of Rochester Inc are physically located at the following address: 3632 10Th Ln Nw, Rochester, MN, 559017032.

What is Lifetime Eye Care Of Rochester Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Lifetime Eye Care Of Rochester Inc is Eyewear Supplier, and the taxonomy code that categorizes this field of expertise is 332H00000X.

On what date did the Lifetime Eye Care Of Rochester Inc receive the assignment of its 1316107790 from the Centers for Medicare & Medicaid Services?

The Lifetime Eye Care Of Rochester Inc was issued its 1316107790 by the Centers for Medicare & Medicaid Services on 2008-06-10.

As of what date were the details related to Lifetime Eye Care Of Rochester Inc most recently updated or revised?

The information pertaining to Lifetime Eye Care Of Rochester Inc, including its address, specialty, and other relevant details, was last updated or revised on 2009-04-01.

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