Organization Active NPI

Lifetime Neuro-Vision Therapy Inc.

  • Vision Therapy Optometrist
  • Rochester, MN
National Provider Identifier
1396466926
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
Legal business name
LIFETIME NEURO-VISION THERAPY INC.
Practice address
3632 10TH LN NW Ste 1
Rochester, MN 55901-7032
Phone
(507) 282-7121
NPI assigned
Sep 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Authorized official

Name
Teresa Lee Anderson
Title
Accounting
Phone
(507) 282-7121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WV0400X Primary

Addresses

Primary practice location

3632 10TH LN NW Ste 1
Rochester, MN 55901-7032

Mailing address

3632 10TH LN NW Ste 1
Rochester, MN 55901-7032
Phone (507) 282-7121

National Provider Directory

National Provider Directory

Locations

3632 10th Ln NW
Ste 1
Rochester, MN 55901
Phone (507) 282-7121

Practitioners & affiliated clinicians

Practitioners 1

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": "1662940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1396466926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3632 10TH LN NW STE 1",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559017032",
            "telephone_number": "507-282-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3632 10TH LN NW STE 1",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559017032",
            "telephone_number": "507-282-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME NEURO-VISION THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "ACCOUNTING",
        "authorized_official_telephone_number": "507-282-7121"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.