Lifetime Vision, Plc

LBN: Lifetime Vision, Plc
Lifetime Vision, Plc is an health care organization with primary practice located at 255 16Th St Sw , Sioux Center IA 51250-2959. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Lifetime Vision, Plc can be contacted via phone (720) 363-3192, or through Bronner, Cheryl J. via phone (720) 363-3191.

Contact Information

Primary practice address
255 16Th St Sw Sioux Center IA 51250-2959
Phone: (720) 363-3192
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bronner, Cheryl J. Doctor of Optometry (OD)
Phone: (720) 363-3191

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 02040 Iowa

Profile Details

NPI number 1629522974
LBN Legal business name Lifetime Vision, Plc
DBA Doing business as
Authorized official Bronner, Cheryl J. Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2016
Last updated Aug 3rd, 2016 - about 9 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 1629522974 NPPES
Iowa MEDICAID 1194758581

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