Lifetime Vision Center

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

LIFETIME VISION CENTER

Practice address

330 Dillard Ave
Forrest City, AR 72335-3260

Phone

(870) 633-1174

Fax

(870) 633-3838

NPI assigned

Sep 20, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Martha Gore, O.D.NPI 1659340040

Title

Doctor

Phone

(870) 633-1174

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Martha Gore, O.D.

  • Optometrist
  • Forrest City, AR
  • NPI 1659340040
  Medicare reassignment NPD Authorized official
• Jennifer Eunice Anderson Connell, O.D., M.S., B.S.

  • Optometrist
  • Blytheville, AR
  • NPI 1336692623
  NPD
• Ashley Toland, O.D.

  • Optometrist
  • Forrest City, AR
  • NPI 1518412600
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1215034699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 DILLARD AVE",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723353260",
            "telephone_number": "870-633-1174",
            "fax_number": "870-633-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 DILLARD AVE",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723353260",
            "telephone_number": "870-633-1174",
            "fax_number": "870-633-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "GORE",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "870-633-1174",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106007722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judith NM Lamarre
• Randy Larson, MHPP
• Betty Leak, MHPP
• Tyler Lee, QBHP
• Latosha Lewis
• Mary Linn, RN
• Jana Lloyd
• Margaret Delaney Lloyd, OTR/L
• Patrice Michelle Lloyd, PTA
• Betty K Long, OTA/L

• Optometrist in Forrest City, AR
• Providers in Forrest City, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.