Lifetime Eyecare, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1088 Issued in NE

Legal business name

LIFETIME EYECARE, P.C.

Practice address

218 West D Street
MC Cook, NE 69001-1808

Phone

(308) 345-5800

Fax

(308) 345-5802

NPI assigned

Jan 10, 2006

Organization subpart

No

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

Authorized official

Name

Deb S Walter

Title

Office Manager

Phone

(308) 345-5800

Specialties & licenses 4

Addresses

Other names 1

• Lifetime Eyecare Other name

Medicare fee-for-service enrollment

Enrolled in KS, NE2 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.

CLIA laboratory certificates

Locations

Practitioners 4

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

• Dirk M Gray, OD

  • Optometrist
  • MC Cook, NE
  • NPI 1740269588

  KS

  Medicare reassignment Care Compare group NPD
• Regan Nicole May, OD

  • Optometrist
  • MC Cook, NE
  • NPI 1811577554
  Medicare reassignment Care Compare group NPD
• Robert A Stamm, OD

  • Optometrist
  • MC Cook, NE
  • NPI 1790764769

  KS

  Medicare reassignment Care Compare group NPD
• Melinda Kathryn Kennel, O.D.

  • Optometrist
  • Norfolk, NE
  • NPI 1013908656
  Medicare reassignment NPD

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580947200000",
    "number": "1457330433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1808",
            "city": "MC COOK",
            "state": "NE",
            "postal_code": "690011808",
            "telephone_number": "308-345-5800",
            "fax_number": "308-345-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 WEST D STREET",
            "city": "MC COOK",
            "state": "NE",
            "postal_code": "690011808",
            "telephone_number": "308-345-5800",
            "fax_number": "308-345-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME EYECARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-10",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A",
        "authorized_official_last_name": "WALTER",
        "authorized_official_first_name": "DEB",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "308-345-5800"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1049",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1088",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1636",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1529",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifetime Eyecare",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Lifetime Eyecare",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Vicky Lynn Leibbrandt
• Summer Leiby
• Kassadi Lemburg
• Jordan Lewis
• Nicole Liess
• Christine Long
• Caylee Lynn Loomis
• Haiden Loop
• Christina Lopez
• Debbra M Lubbers

• Optometrist in MC Cook, NE
• Providers in MC Cook, NE by specialty
• Optometrist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; 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.