NPIMap

Organization Active NPI

Lifetime Optometric

  • Optometrist
  • Fresno, CA
National Provider Identifier
1588038913
Registry record updated Nov 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT6949 Issued in CA
Legal business name
LIFETIME OPTOMETRIC
Practice address
1111 E Herndon Ave
Suite 101
Fresno, CA 93720-3100
Phone
(559) 432-2200
Fax
(559) 432-2203
NPI assigned
Nov 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2015

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

Authorized official

Name
Patty Schoonover
Title
Manager
Phone
(559) 432-2200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X OPT6949 CA Primary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X OPT13190 CA

Addresses

Primary practice location

1111 E Herndon Ave
Suite 101
Fresno, CA 93720-3100

Mailing address

1111 E Herndon Ave
Suite 101
Fresno, CA 93720-3100
Phone (559) 432-2200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1448236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448236800000",
    "number": "1588038913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 E HERNDON AVE",
            "address_2": "SUITE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203100",
            "telephone_number": "559-432-2200",
            "fax_number": "559-432-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 E HERNDON AVE",
            "address_2": "SUITE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203100",
            "telephone_number": "559-432-2200",
            "fax_number": "559-432-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME OPTOMETRIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-23",
        "last_updated": "2015-11-23",
        "status": "A",
        "authorized_official_last_name": "SCHOONOVER",
        "authorized_official_first_name": "PATTY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "559-432-2200"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT6949",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT13190",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2015; 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.