Lifetime Eyecare P C

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901002394 Issued in MI

Legal business name

LIFETIME EYECARE P C

Practice address

597 Baldwin St
Jenison, MI 49428-7994

Phone

(616) 457-0760

NPI assigned

Jun 1, 2007

Last updated

May 6, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Allen Ralph Smith, DONPI 1255369138

Title

President

Phone

(616) 457-0760

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI2 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, and the practitioner matching its NPPES authorized official.

• Allen Ralph Smith, O.D.

  • Optometrist
  • Jenison, MI
  • NPI 1255369138
  Medicare reassignment Authorized official
• Nicole Marie Bennett Gdowski, O.D.

  • Optometrist
  • Portage, MI
  • NPI 1508154246
  Medicare reassignment
• Gordon Dale Schultze, O.D.

  • Optometrist
  • Jenison, MI
  • NPI 1821124165
  NPD (past)

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1285836213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "597 BALDWIN ST STE 1",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494287994",
            "telephone_number": "616-457-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "597 BALDWIN ST",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494287994",
            "telephone_number": "616-457-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME EYECARE P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "RALPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-457-0760",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "F==-=======",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Lane
• Renee Lanning, RN
• Joann Lee, DDS
• Leonard H. Nienhuis D.C. P.C.
• Allison Liao, PHARMD
• Logan C Smith DDS PLLC (Smith Dental Team)
• Chantel Lokers
• Lea Jade Louie
• Matthew T. Lubbers, D.D.S.
• Cynthia Lucas, LMSW

• Optometrist in Jenison, MI
• Providers in Jenison, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.