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LIFETIME VISION CARE LLC
NPI 1073886412
Clinic/Center - Medical Specialty in Bend, OR

Active since February 15, 2012
901 NW CARLON AVE, SUITE 2, BEND, OR 97703(541) 382-3242(541) 317-3579 Get Directions Write a Review

NPPES record last updated: July 15, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lifetime Vision Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFETIME VISION CARE LLC (NPI 1073886412) is a healthcare organization registered as a medical specialty in Bend, Oregon and active in the NPI registry since February 2012. The organization lists Derri Jo Sandberg, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1073886412
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameLIFETIME VISION CARE LLC
Location Address901 NW CARLON AVE, SUITE 2Bend, OR 97703-2636
Mailing Address901 Nw Carlon Ave, Suite 2Bend, OR 97703-2636 · (541) 382-3242 · Fax (541) 317-3579
Phone(541) 382-3242
Fax(541) 317-3579
Organization SubpartNo
Authorized OfficialDerri Jo SandbergOptometrist · (541) 382-3242
Enumeration DateFebruary 15, 2012
Last NPPES UpdateJuly 15, 2015
✔ NPI 1073886412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
901 NW CARLON AVE, Bend, OR 97703
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lifetime Vision Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Lifetime Vision Care LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Brock Karben, O.D.
Optometry
NPI 1881841781
901 NW CARLON AVE
Bend, OR 97703
(541) 382-3242
✔ PECOS✔ Accepts MedicareSame address
Derri Sandberg, O.D.
Optometry
NPI 1831397306
901 NW CARLON AVE STE 2
Bend, OR 97703
(541) 382-3242
✔ PECOS✔ Accepts MedicareSame address
Stephanie Rettenmeier
Optometry
NPI 1295197226
901 NW CARLON AVE
Bend, OR 97703
(541) 382-3242
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lifetime Vision Care LLC's NPI number?

The NPI number for Lifetime Vision Care LLC is 1073886412. It was assigned to this organization in the NPPES registry on February 15, 2012.

Where is Lifetime Vision Care LLC located?

Lifetime Vision Care LLC is located at 901 NW Carlon Ave Suite 2, Bend, OR 97703. The listed phone number is (541) 382-3242.

What is Lifetime Vision Care LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Lifetime Vision Care LLC enrolled in Medicare?

Yes. Lifetime Vision Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lifetime Vision Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Lifetime Vision Care LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lifetime Vision Care LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Lifetime Vision Care LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lifetime Vision Care LLC was last updated on July 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.