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LIFETIME EYECARE
NPI 1619180775
Eyewear Supplier in Viera, FL

Active since May 07, 2007CLIA 10D2150863 · Waiver
5455 MURRELL RD, SUITE 107, VIERA, FL 32955(321) 636-1972(321) 636-1507 Get Directions Write a Review

NPPES record last updated: January 4, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lifetime Eyecare NPPES

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

LIFETIME EYECARE (NPI 1619180775) is a healthcare organization registered as an eyewear supplier in Viera, Florida and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through July 5, 2028 and lists Mark Rowell Fisher, Optometric Physician, as its authorized official.

NPPES Registry Identity

NPI1619180775
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameLIFETIME EYECARE CENTER LLC
Location Address5455 MURRELL RD, SUITE 107Viera, FL 32955-6615
Mailing Address5455 Murrell Rd, Suite 107Viera, FL 32955-6615 · (321) 636-1972 · Fax (321) 636-1507
Phone(321) 636-1972
Fax(321) 636-1507
Organization SubpartNo
Authorized OfficialMark Rowell FisherOptometric Physician · (321) 636-1972
Enumeration DateMay 7, 2007
Last NPPES UpdateJanuary 4, 2011
✔ NPI 1619180775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
License✔ Licensed in FL · OPC 1739
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
5455 MURRELL RD, Viera, FL 32955
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Other Names 1

Other NameLifetime Eyecare

Other Identifiers 5

Medicaid078956900FL
Medicare NSC5966100001FL
Medicare UPINT85231
Other19829FL · Bcbs Of Fl
Medicare PIN19829Y

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

Clinicians Billing Medicare Through This Organization

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

Clinician (1)

Mark Fisher, OD
Optometry
NPI 1275576712
5455 MURRELL RD SUITE 107
Rockledge, FL 32955
(321) 636-1972
✔ 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.

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 10D2150863

Lifetime Eyecare · Viera, FL
Active · expires Jul 5, 2028
CLIA Number10D2150863
Laboratory TypePhysician Office
Certificate Effective DateJuly 6, 2026
Certificate Expiration DateJuly 5, 2028
Laboratory DirectorMark Fisher
Laboratory Phone(321) 636-1972
Laboratory LocationLifetime Eyecare5455 Murell Road #107, Viera, FL 32955
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Center LLC's NPI number?

The NPI number for Lifetime Eyecare Center LLC is 1619180775. It was assigned to this organization in the NPPES registry on May 7, 2007. The provider is also known as Lifetime Eyecare.

Where is Lifetime Eyecare Center LLC located?

Lifetime Eyecare Center LLC is located at 5455 Murrell Rd Suite 107, Viera, FL 32955. The listed phone number is (321) 636-1972.

What is Lifetime Eyecare Center LLC's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

Is Lifetime Eyecare Center LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Lifetime Eyecare Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Lifetime Eyecare Center LLC. 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 Eyecare Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2150863) is associated with this NPI, valid through July 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lifetime Eyecare Center LLC was last updated on January 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.