LIFETIME VISION CENTER
NPI 1215034699
Optometrist in Forrest City, AR

Active since September 20, 2006
330 DILLARD AVE, FORREST CITY, AR 72335(870) 633-1174(870) 633-3838 Get Directions Write a Review

NPPES record last updated: May 20, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lifetime Vision Center NPPES

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

LIFETIME VISION CENTER (NPI 1215034699) is a healthcare organization registered as an optometrist in Forrest City, Arkansas and active in the NPI registry since September 2006. The organization lists Martha Gore, Doctor, as its authorized official.

NPPES Registry Identity

NPI1215034699
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameLIFETIME VISION CENTER
Location Address330 DILLARD AVEForrest City, AR 72335-3260
Mailing Address330 Dillard AveForrest City, AR 72335-3260 · (870) 633-1174 · Fax (870) 633-3838
Fax(870) 633-3838
Organization SubpartNo
Authorized OfficialMartha GoreDoctor · (870) 633-1174
Enumeration DateSeptember 20, 2006
Last NPPES UpdateMay 20, 2008
✔ NPI 1215034699 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.
330 DILLARD AVE, Forrest City, AR 72335

Other Identifiers 3

Medicare ID-Type Unspecified5B443AR
Medicare NSC0160370002AR
Medicaid106007722AR

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateArkansasEnrollment IDO20100930022358DME · Physician - OptometristDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lifetime Vision Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Optometry
NPI 1659340040
330 DILLARD ST
Forrest City, AR 72335
(870) 633-1174
✔ 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.

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Lifetime Vision Center carries, from the Medicare DMEPOS supplier directory.

Lifetime Vision Center

DMEPOS supplier · Forrest City, AR
✔

Accepts Medicare assignment

Lifetime Vision Center 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)20641961
Medicare Participant SinceJanuary 1, 1998
Supplier Location330 Dillard StForrest City, AR 72335
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 Vision Center's NPI number?

The NPI number for Lifetime Vision Center is 1215034699. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Lifetime Vision Center located?

Lifetime Vision Center is located at 330 Dillard Ave, Forrest City, AR 72335. The listed phone number is (870) 633-1174.

What is Lifetime Vision Center's specialty?

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

Is Lifetime Vision Center enrolled in Medicare?

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

When is Lifetime Vision Center's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Arkansas, Physician - Optometrist) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Lifetime Vision Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Lifetime Vision Center. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Lifetime Vision Center accept Medicare assignment for medical equipment?

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

What insurance does Lifetime Vision Center accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Lifetime Vision Center 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 Center was last updated on May 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.