LIFETIME EYE CARE OF ROCHESTER INC
NPI 1316107790
Optometrist in Rochester, MN

Active since June 10, 2008
3632 10TH LN NW, SUITE 2, ROCHESTER, MN 55901(507) 282-7121 Get Directions Write a Review

NPPES record last updated: April 1, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lifetime Eye Care Of Rochester Inc NPPES

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

LIFETIME EYE CARE OF ROCHESTER INC (NPI 1316107790) is a healthcare organization registered as an optometrist in Rochester, Minnesota and active in the NPI registry since June 2008. The organization lists Jeffrey Leon Anderson, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1316107790
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameLIFETIME EYE CARE OF ROCHESTER INC
Location Address3632 10TH LN NW, SUITE 2Rochester, MN 55901-7032
Mailing Address3632 10th Ln Nw, Suite 2Rochester, MN 55901-7032 · (507) 282-7121
Organization SubpartNo
Authorized OfficialJeffrey Leon AndersonOptometrist · (507) 282-7121
Enumeration DateJune 10, 2008
Last NPPES UpdateApril 1, 2009
✔ NPI 1316107790 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 MN · 2665
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 ListedEyewear SupplierTaxonomy 332H00000X · License 2665 (MN)
3632 10TH LN NW, Rochester, MN 55901

Other Identifiers 9

Other09Y96LIMN · Blue Cross Blue Shield
Medicare PIN410003032MN
Other09Y99LIMN · Blue Cross Blue Shield
Medicare NSC6123890002MN
Other09Y98SIMN · Blue Cross Blue Shield
Medicare UPINU70536MN
Medicare PIN410003031MN
Medicare UPINV11757MN
Other09Y97ANMN · Blue Cross Blue Shield

Accepted 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 Eye Care Of Rochester Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Lifetime Eye Care Of Rochester Inc, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Optometry
NPI 1831253327
3632 10TH LN NW
Rochester, MN 55901
(507) 282-7121
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1114948734
3632 10TH LN NW
Rochester, MN 55901
(507) 282-7121
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1437833373
3632 10TH LN NW
Rochester, MN 55901
(507) 282-7121
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1902850647
25 25TH ST SE WAL-MART SOUTH VISION CENTER
Rochester, MN 55904
(507) 292-1729
✔ PECOS5.2 mi
Optometry
NPI 1225064843
504 S MANTORVILLE AVENUE STE 1
Kasson, MN 55944
(507) 634-4445
✔ PECOS✔ Accepts Medicare14 mi
Optometry
NPI 1427044916
200 14TH ST NW
Austin, MN 55912
(507) 437-3227
✔ PECOS✔ Accepts Medicare37 mi
Optometry
NPI 1093406464
200 14TH ST NW
Austin, MN 55912
(507) 437-3227
✔ PECOS✔ Accepts Medicare37 mi
Optometry
NPI 1366000697
200 14TH ST NW
Austin, MN 55912
(507) 437-3227
✔ PECOS✔ Accepts Medicare37 mi

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 3

Medicare supplier enrollment and the product categories Lifetime Eye Care Of Rochester Inc carries, from the Medicare DMEPOS supplier directory.

Lifetime Eye Care Of Rochester Inc

DMEPOS supplier · Rochester, MN
✔

Accepts Medicare assignment

Lifetime Eye Care Of Rochester Inc 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)20557721
Medicare Participant SinceJuly 1, 2008
Supplier Location3632 10th Ln NWRochester, MN 55901
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
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 Of Rochester Inc's NPI number?

The NPI number for Lifetime Eye Care Of Rochester Inc is 1316107790. It was assigned to this organization in the NPPES registry on June 10, 2008.

Where is Lifetime Eye Care Of Rochester Inc located?

Lifetime Eye Care Of Rochester Inc is located at 3632 10th Ln NW Suite 2, Rochester, MN 55901. The listed phone number is (507) 282-7121.

What is Lifetime Eye Care Of Rochester Inc's specialty?

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

Is Lifetime Eye Care Of Rochester Inc enrolled in Medicare?

Yes. Lifetime Eye Care Of Rochester Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lifetime Eye Care Of Rochester Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians, all in Optometry, reassign their Medicare billing to Lifetime Eye Care Of Rochester Inc. 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 and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Lifetime Eye Care Of Rochester Inc accept Medicare assignment for medical equipment?

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

What insurance does Lifetime Eye Care Of Rochester Inc 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 and 2 other insurers list Lifetime Eye Care Of Rochester 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 Lifetime Eye Care Of Rochester Inc was last updated on April 1, 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.