LIFETIME EYECARE P C
NPI 1285836213
Optometrist in Jenison, MI

Active since June 01, 2007
597 BALDWIN ST, JENISON, MI 49428(616) 457-0760 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lifetime Eyecare P C NPPES

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

LIFETIME EYECARE P C (NPI 1285836213) is a healthcare organization registered as an optometrist in Jenison, Michigan and active in the NPI registry since June 2007. The organization lists Allen Ralph Smith, President, as its authorized official.

NPPES Registry Identity

NPI1285836213
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameLIFETIME EYECARE P C
Location Address597 BALDWIN STJenison, MI 49428-7994
Mailing Address597 Baldwin St Ste 1Jenison, MI 49428-7994 · (616) 457-0760
Organization SubpartNo
Authorized OfficialAllen Ralph SmithPresident · (616) 457-0760
Enumeration DateJune 1, 2007
Last NPPES UpdateMay 6, 2026
NPPES CertifiedMay 6, 2026
✔ NPI 1285836213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MI · 4901002394
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License F==-======= (MI)
597 BALDWIN ST, Jenison, MI 49428

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 Eyecare P C is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

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
StateMichiganEnrollment IDO20040909000956Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Lifetime Eyecare P C, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Optometry
NPI 1215627732
597 BALDWIN ST STE 1
Jenison, MI 49428
(616) 457-0760
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1255369138
597 BALDWIN ST
Jenison, MI 49428
(616) 457-0760
✔ 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 Eyecare P C's NPI number?

The NPI number for Lifetime Eyecare P C is 1285836213. It was assigned to this organization in the NPPES registry on June 1, 2007.

Where is Lifetime Eyecare P C located?

Lifetime Eyecare P C is located at 597 Baldwin St, Jenison, MI 49428. The listed phone number is (616) 457-0760.

What is Lifetime Eyecare P C's specialty?

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

Is Lifetime Eyecare P C enrolled in Medicare?

Yes. Lifetime Eyecare P C is registered in the Medicare PECOS enrollment system.

When is Lifetime Eyecare P C's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by November 30, 2026. 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 Eyecare P C?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Lifetime Eyecare P C. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lifetime Eyecare P C accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Lifetime Eyecare 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 Eyecare P C was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.