Active NPI
Lifetime Eyecare PC
- Optometrist
- Bayfield, CO
National Provider Identifier
1053809152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- LIFETIME EYECARE PC
- Practice address
- 49 Mill Street
Bayfield, CO 81122 - Phone
- (970) 884-2020
- Fax
- (970) 884-2977
- NPI assigned
- Apr 25, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian B Meier, OD
- Title
- Owner
- Phone
- (970) 884-2020
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
49 Mill Street
Bayfield, CO 81122
Mailing address
PO Box 2073
Bayfield, CO 81122-2073
Phone (970) 884-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180626001735 | CO | Part B Supplier - Clinic/Group Practice | 1254686694 |
Receives reassigned benefits from 2 practitioners Practice locations: Bayfield, CO |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718064000000",
"number": "1053809152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2073",
"city": "BAYFIELD",
"state": "CO",
"postal_code": "811222073",
"telephone_number": "970-884-2020",
"fax_number": "970-884-2977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 MILL STREET",
"city": "BAYFIELD",
"state": "CO",
"postal_code": "81122",
"telephone_number": "970-884-2020",
"fax_number": "970-884-2977"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFETIME EYECARE PC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-25",
"last_updated": "2024-06-11",
"certification_date": "2024-06-11",
"status": "A",
"authorized_official_last_name": "MEIER",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "970-884-2020",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayfield, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.