LIFETIME EYE CARE OF ROCHESTER INC


Address: 3632 10th Ln Nw, Suite 2, Rochester, MN 55901-7032
Phone: 5072827121

LIFETIME EYE CARE OF ROCHESTER INC (NPI# 1316107790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316107790
Entity Type Organization
Organization Name LIFETIME EYE CARE OF ROCHESTER INC
Practice Address 3632 10th Ln Nw
Suite 2
Rochester
MN 55901-7032
Practice Telephone 5072827121
Mailing Telephone 5072827121
Enumeration Date 2008-06-10
Last Update Date 2009-04-01
Authorized Official Name DR. JEFFREY LEON ANDERSON (OPTOMETRIST)
Authorized Official Telephone 5072827121
Authorized Official Credential O.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332H00000X Eyewear Supplier (Equipment, not the service) 2665 MN Suppliers
Y 152W00000X Optometrist 2665 MN Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
MN BLUE CROSS BLUE SHIELD 09Y97AN 01
MN BLUE CROSS BLUE SHIELD 09Y99LI 01
MN BLUE CROSS BLUE SHIELD 09Y96LI 01
MN BLUE CROSS BLUE SHIELD 09Y98SI 01

Office Location

Street Address 3632 10TH LN NW
SUITE 2
City ROCHESTER
State MN
Zip Code 55901-7032

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649215328 Joel C Michelson Dentist 3632 10th Ln Nw, Rochester, MN 55901-6917 2006-06-18
1669851192 Caitlin Heggestad Optometrist 3632 10th Ln Nw, Rochester, MN 55901-7032 2015-05-29
1730498478 Lisa A Rosenau Dental Assistant 3632 10th Ln Nw, Rochester, MN 55901-7032 2010-09-29
1376790543 Andrew Quentin Madson Dentist 3632 10th Ln Nw, Rochester, MN 55901 2008-08-19
1770776312 Southeastern Minnesota Oral & Maxillofacial Surgery Associates Clinic/Center 3632 10th Ln Nw, Rochester, MN 55901-7032 2007-08-27
1386867703 Susan Marie Stellmaker Nurse's Aide 3632 10th Ln Nw, Rochester, MN 55901-7032 2007-04-11
1598988891 Sheryl Ann Benike Licensed Practical Nurse 3632 10th Ln Nw, Rochester, MN 55901-7032 2007-04-11
1437372166 Joan Ellen Ojanen Dental Assistant 3632 10th Ln Nw, Rochester, MN 55901-7032 2007-04-11
1659402758 Pamela Jane Adamson Licensed Practical Nurse 3632 10th Ln Nw, Rochester, MN 55901-7032 2007-03-08
1114948734 Courtney Ray Sivertson Optometrist 3632 10th Ln Nw, Rochester, MN 55901-7032 2006-07-21
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NPI Name Taxonomy Address Enumeration
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1235648270 Mariah Adanene Registered Nurse 915 41st Street Nw, Rochester, MN 55901 2017-09-21
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Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy 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 systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316588700 Total Vision Eyecare, Pllc Optometrist 1630 Center St W, Rochester, MN 55902-0346 2019-10-07
1619529278 Amanda Domagola Optometrist 451 Hollybrook Rd, Rochester, NY 14623-4115 2019-07-14
1962062000 Megan Elizabeth Hart Optometrist 3173 Chili Ave Ste 400, Rochester, NY 14624-5400 2019-06-20
1902310006 Maria Annum Optometrist 3462 55th St Nw Ste 600, Rochester, MN 55901-0203 2017-11-28
1467964627 Eric Lee Houghtaling Optometrist 2180 Monroe Ave Ste 1, Rochester, NY 14618-2410 2017-10-27
1942731682 Bhend Family Eye Care, Pllc Optometrist 2650 S Broadway, Suite 400, Rochester, MN 55904-6262 2017-03-24
1770932147 Ashley Mills Optometrist 10 Woodcrest Dr, Rochester, NY 14625 2016-06-07
1376957779 David William Kenney Optometrist 3042 W Ridge Rd, Rochester, NY 14626-1676 2014-06-13
1801221346 Anthony J Dell'anno Optometrist 2590 W Ridge Rd, Rochester, NY 14626-3041 2013-09-03
1972944668 Marycarol Graby Optometrist 2301 Lac Deville Blvd, Rochester, NY 14618-5646 2013-07-10
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Competitor

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City ROCHESTER
Zip Code 55901

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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