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LIFETIME EYE CARE, P. C.
NPI 1205424900
Optometrist in Charleston, IL

Active since January 07, 2021CLIA 14D2159817 · Waiver
1903 18TH ST, CHARLESTON, IL 61920(217) 345-6600(217) 345-6622 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 23, 2025, Jan 7, 2021 (2 updates tracked since 2021).

About Lifetime Eye Care, P. C. NPPES

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

LIFETIME EYE CARE, P. C. (NPI 1205424900) is a healthcare organization registered as an optometrist in Charleston, Illinois and active in the NPI registry since January 2021. The organization holds a CLIA Waiver certificate valid through December 26, 2026, maintains a secondary practice location in Mattoon, and lists Nancy Hendrix, Insurance/billing, as its authorized official.

NPPES Registry Identity

NPI1205424900
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameLIFETIME EYE CARE, P. C.
Location Address1903 18TH STCharleston, IL 61920-3612
Mailing Address1700 18th StCharleston, IL 61920-3607 · (217) 345-6600 · Fax (217) 345-6622
Phone(217) 345-6600
Fax(217) 345-6622
Organization SubpartNo
Authorized OfficialNancy HendrixInsurance/billing · (217) 345-6600
Enumeration DateJanuary 7, 2021
Last NPPES UpdateDecember 23, 20252 updates tracked since enumeration
NPPES CertifiedDecember 23, 2025
✔ NPI 1205424900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
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.
1903 18TH ST, Charleston, IL 61920
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Secondary Practice Location 1

Location 11821 Charleston AveMattoon, IL 61938-3829 · Phone (217) 234-6600 · Fax (217) 234-6622

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

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.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 14D2159817

Lifetime Eye Care · Charleston, IL
Active · expires Dec 26, 2026
CLIA Number14D2159817
Laboratory TypePhysician Office
Certificate Effective DateDecember 27, 2024
Certificate Expiration DateDecember 26, 2026
Laboratory DirectorMark D. Esarey
Laboratory Phone(217) 345-6600
Laboratory LocationLifetime Eye Care1700 18th St, Charleston, IL 61920
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Lifetime Eye Care P.C carries, from the Medicare DMEPOS supplier directory.

Lifetime Eye Care P.C

DMEPOS supplier · Charleston, IL
✔

Accepts Medicare assignment

Lifetime Eye Care P.C agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20405489
Medicare Participant SinceJune 25, 2021
Supplier Location1700 18th StCharleston, IL 61920
Phone(217) 345-6600
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Eye Care, P. C.'s NPI number?

The NPI number for Lifetime Eye Care, P. C. is 1205424900. It was assigned to this organization in the NPPES registry on January 7, 2021.

Where is Lifetime Eye Care, P. C. located?

Lifetime Eye Care, P. C. is located at 1903 18th St, Charleston, IL 61920. The listed phone number is (217) 345-6600.

What is Lifetime Eye Care, P. C.'s specialty?

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

Does Lifetime Eye Care, P. C. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Lifetime Eye Care P.C accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Lifetime Eye Care, P. C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2159817) is associated with this NPI, valid through December 26, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lifetime Eye Care, P. C. accept?

Health plans from BlueCross BlueShield of Tennessee list Lifetime Eye Care, P. C. 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 Eye Care, P. C. was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.