Lifetime Eye Care Of Rochester Inc

LBN: Lifetime Eye Care Of Rochester Inc
Lifetime Eye Care Of Rochester Inc is an health care organization with primary practice located at 3632 10Th Ln Nw Suite 2, Rochester MN 55901-7032. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optometrist is the primary health care specialty. Lifetime Eye Care Of Rochester Inc can be contacted via phone (507) 282-7121, or through Anderson, Jeffrey Leon via phone (507) 282-7121.

Contact Information

Primary practice address
3632 10Th Ln Nw Suite 2 Rochester MN 55901-7032
Fax:
Website:
Authorized official contact:
Name: Anderson, Jeffrey Leon Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2665 Minnesota
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 2665 Minnesota

Profile Details

NPI number 1316107790
LBN Legal business name Lifetime Eye Care Of Rochester Inc
DBA Doing business as
Authorized official Anderson, Jeffrey Leon Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2008
Last updated Apr 1st, 2009 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316107790 NPPES
Minnesota Other 09Y97AN BLUE CROSS BLUE SHIELD
Minnesota Other 09Y99LI BLUE CROSS BLUE SHIELD
Minnesota Other 09Y96LI BLUE CROSS BLUE SHIELD
Minnesota Other 09Y98SI BLUE CROSS BLUE SHIELD

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