Lifetime Vision Source of Lebanon LLC
NPI 1710168877ActiveOrganization· Optometrist· Lebanon, OR
Optometrist in Lebanon, Oregon, registered in NPPES in November 2007. The authorized official on file is Teresa Turrentine, Administrative Assistant. Enrolled in Medicare as dme supplier - physician - optometrist and part b supplier - clinic/group practice.
Overview
| NPI | 1710168877 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 16, 2007 |
| Last updated in NPPES | Dec 2, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 1400ATI | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Optometrist (OR); Part B Supplier - Clinic/Group Practice (OR) |
|---|
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