LIFETIME VISION SOURCE LLC
NPI 1710168877
Optometrist in Lebanon, OR
About Lifetime Vision Source Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIFETIME VISION SOURCE LLC (NPI 1710168877) is a healthcare organization registered as an optometrist in Lebanon, Oregon and active in the NPI registry since November 2007. The organization holds a CLIA Waiver certificate valid through April 21, 2028 and lists Teresa Turrentine, Administrative Assistant, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 4
Group Practice 1
Accepted Insurance
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 38D2076583
Lifetime Vision Source Of Lebanon · Lebanon, ORMedical Equipment Supplier Medicare DMEPOS 2
Medicare supplier enrollment and the product categories Lifetime Vision Source Of Lebanon carries, from the Medicare DMEPOS supplier directory.
Lifetime Vision Source Of Lebanon
DMEPOS supplier · Lebanon, OROperated by Lifetime Vision Source Of Lebanon LLCAccepts Medicare assignment
Lifetime Vision Source Of Lebanon 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.
Medicare Product Categories
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Source Of Lebanon LLC's NPI number?
The NPI number for Lifetime Vision Source Of Lebanon LLC is 1710168877. It was assigned to this organization in the NPPES registry on November 16, 2007. The provider is also known as Lifetime Vision Source LLC.
Where is Lifetime Vision Source Of Lebanon LLC located?
Lifetime Vision Source Of Lebanon LLC is located at 90 Market St Ste 20, Lebanon, OR 97355. The listed phone number is (541) 451-1144.
What is Lifetime Vision Source Of Lebanon LLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Does Lifetime Vision Source Of Lebanon LLC accept Medicare assignment for medical equipment?
Yes. As a Medicare medical equipment supplier, Lifetime Vision Source Of Lebanon accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.
Does Lifetime Vision Source Of Lebanon LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 38D2076583) is associated with this NPI, valid through April 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Lifetime Vision Source Of Lebanon LLC accept?
Health plans from BlueCross BlueShield of Tennessee, BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Lifetime Vision Source Of Lebanon LLC 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 Source Of Lebanon LLC was last updated on December 2, 2008. 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.
# Lifetime Vision Source Llc · NPI 1710168877
Optometrist organization in Lebanon, Oregon. Organization record, active in the CMS NPPES registry since November 16, 2007.
## Identity
- **NPI:** 1710168877 (Entity type: Organization)
- **Enumerated:** November 16, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Legal business name:** Lifetime Vision Source Of Lebanon Llc
- **Organization subpart:** No
- **Authorized official:** Teresa Turrentine, ADMINISTRATIVE ASSISTANT
## Practice location
- **Address:** 90 MARKET ST, STE 20, Lebanon, OR 97355-2394
- **Phone:** (541) 451-1144 · **Fax:** (541) 451-1785
## Record status
- **NPPES last updated:** December 2, 2008
- **Other identifiers:** Medicare PIN R0000WFBYH (OR); Medicare NSC 1211240001 (OR); Medicaid 128772 (OR); and 1 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1710168877) · Data from the CMS NPPES public registry.