Lifetime Health Medical Group
LBN: Genesee Valley Group Health Association
Lifetime Health Medical Group is an health care organization with primary practice located at 800 Carter St , Rochester NY 14621-2604. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology. Eye and Vision Services Providers / Optometrist is the primary health care specialty.
Genesee Valley Group Health Association can be contacted via phone (585) 338-1400, or through Carlascio, Deborah via phone (585) 336-4841.
Contact Information
Primary practice address
800 Carter St
Rochester NY 14621-2604
Phone: (585) 338-1400
Fax: (585) 336-4845
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X |
Profile Details
| NPI number | 1134272776 |
|---|---|
| LBN Legal business name | Genesee Valley Group Health Association |
| DBA Doing business as | Lifetime Health Medical Group |
| Authorized official | Carlascio, Deborah |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Aug 22nd, 2020 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134272776 | NPPES |
| New York | Other | G0185419597 | GROUP NUMBER FOR BILLING |
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