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LIFETIME VISION & CONTACT LENS CENTER, LTD.
NPI 1679625966
Optometrist in Crystal Lake, IL

Active since January 17, 2007CLIA 14D1098535 · Waiver
300 MEMORIAL DR, SUITE 300, CRYSTAL LAKE, IL 60014(815) 459-7110(815) 459-7138 Get Directions Write a Review

NPPES record last updated: July 27, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lifetime Vision & Contact Lens Center, Ltd. NPPES

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

LIFETIME VISION & CONTACT LENS CENTER, LTD. (NPI 1679625966) is a healthcare organization registered as an optometrist in Crystal Lake, Illinois and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through April 20, 2027 and lists Lamont M Sprague, President, as its authorized official.

NPPES Registry Identity

NPI1679625966
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameLIFETIME VISION & CONTACT LENS CENTER, LTD.
Location Address300 MEMORIAL DR, SUITE 300Crystal Lake, IL 60014-6278
Mailing Address300 Memorial Dr, Suite 300Crystal Lake, IL 60014-6278 · (815) 459-7110 · Fax (815) 459-7138
Phone(815) 459-7110
Fax(815) 459-7138
Organization SubpartNo
Authorized OfficialLamont M SpraguePresident · (815) 459-7110
Enumeration DateJanuary 17, 2007
Last NPPES UpdateJuly 27, 2021
NPPES CertifiedJuly 27, 2021
✔ NPI 1679625966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in IL · 046007026
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.
300 MEMORIAL DR, Crystal Lake, IL 60014
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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 Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.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 Vision & Contact Lens Center, Ltd. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Lifetime Vision & Contact Lens Center, Ltd., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Kaitlyn Keller, O.D.
Optometry
NPI 1760744833
300 MEMORIAL DR
Crystal Lake, IL 60014
(815) 459-7110
✔ PECOS✔ Accepts MedicareSame address
Elizabeth Mihevc, OD
Optometry
NPI 1093722373
300 MEMORIAL DR STE 300
Crystal Lake, IL 60014
(815) 459-7110
✔ PECOS✔ Accepts MedicareSame address
Tyler Doersam, O.D.
Optometry
NPI 1417365123
118 LAKESIDE DR APT 434
Saint Charles, IL 60174
(815) 821-3088
✔ PECOS✔ Accepts Medicare22 mi

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 14D1098535

Lifetime Vision & Contact Lens Center Ltd · Crystal Lake, IL
Active · expires Apr 20, 2027
CLIA Number14D1098535
Laboratory TypePhysician Office
Certificate Effective DateApril 21, 2025
Certificate Expiration DateApril 20, 2027
Laboratory DirectorLamont M. Sprague
Laboratory Phone(815) 459-7110
Laboratory LocationLifetime Vision & Contact Lens Center Ltd300 Memorial Drive, Suite 300, Crystal Lake, IL 60014
CLIA data matches this NPI record on: Address 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 Vision & Contact Lens Center, Ltd.'s NPI number?

The NPI number for Lifetime Vision & Contact Lens Center, Ltd. is 1679625966. It was assigned to this organization in the NPPES registry on January 17, 2007.

Where is Lifetime Vision & Contact Lens Center, Ltd. located?

Lifetime Vision & Contact Lens Center, Ltd. is located at 300 Memorial Dr Suite 300, Crystal Lake, IL 60014. The listed phone number is (815) 459-7110.

What is Lifetime Vision & Contact Lens Center, Ltd.'s specialty?

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

Is Lifetime Vision & Contact Lens Center, Ltd. enrolled in Medicare?

Yes. Lifetime Vision & Contact Lens Center, Ltd. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lifetime Vision & Contact Lens Center, Ltd.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Lifetime Vision & Contact Lens Center, Ltd.. 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.

Does Lifetime Vision & Contact Lens Center, Ltd. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1098535) is associated with this NPI, valid through April 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lifetime Vision & Contact Lens Center, Ltd. accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Lifetime Vision & Contact Lens Center, Ltd. 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 & Contact Lens Center, Ltd. was last updated on July 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.