LIFETIME OPTOMETRY
NPI 1083819080
Optometrist in Boise, ID

Active since June 19, 2007CLIA 13D2067514 · Waiver
10454 W OVERLAND RD, BOISE, ID 83709(208) 672-1370(208) 672-1404 Get Directions Write a Review

NPPES record last updated: August 3, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lifetime Optometry NPPES

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

LIFETIME OPTOMETRY (NPI 1083819080) is a healthcare organization registered as an optometrist in Boise, Idaho and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through September 16, 2026 and lists Richard C Murray, Owner, as its authorized official.

NPPES Registry Identity

NPI1083819080
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NamePRIMARY EYECARE INC
Location Address10454 W OVERLAND RDBoise, ID 83709-1433
Mailing Address10454 W Overland RdBoise, ID 83709-1433 · (208) 672-1370 · Fax (208) 672-1404
Fax(208) 672-1404
Organization SubpartNo
Authorized OfficialRichard C MurrayOwner · (208) 672-1370
Enumeration DateJune 19, 2007
Last NPPES UpdateAugust 3, 2009
NPI 1083819080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in ID · ODP-782
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.
10454 W OVERLAND RD, Boise, ID 83709

Other Names 1

Doing Business AsLifetime Optometry

Other Identifiers 3

Medicaid806071300ID
Medicare UPINU31021ID
Medicare PIN15945021ID

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2067514

Lifetime Optometry · Boise, ID
Active · expires Sep 16, 2026
CLIA Number13D2067514
Laboratory TypePractitioner Other
Certificate Effective DateSeptember 17, 2024
Certificate Expiration DateSeptember 16, 2026
Laboratory DirectorRichard C. Murray Od
Laboratory Phone(208) 672-1370
Laboratory LocationLifetime Optometry10454 Overland Rd, Boise, ID 83709
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
10454 W OVERLAND RD
BOISE, ID 83709
Optometrist
10454 W OVERLAND RD
BOISE, ID 83709
Optometrist
10454 W OVERLAND RD
BOISE, ID 83709

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 Primary Eyecare Inc's NPI number?

The NPI number for Primary Eyecare Inc is 1083819080. It was assigned to this organization in the NPPES registry on June 19, 2007. The provider is doing business as Lifetime Optometry.

Where is Primary Eyecare Inc located?

Primary Eyecare Inc is located at 10454 W Overland Rd, Boise, ID 83709. The listed phone number is (208) 672-1370.

What is Primary Eyecare Inc's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Does Primary Eyecare Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2067514) is associated with this NPI, valid through September 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Primary Eyecare Inc accept?

Health plans from BlueCross BlueShield of Tennessee list Primary Eyecare Inc 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 Primary Eyecare Inc was last updated on August 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.