Active NPI
Jeffrey L. Anderson, O.D.
Doing business as Lifetime Eye Care
- Optometrist
- Rochester, MN
National Provider Identifier
1770611477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2665
- Legal business name
- JEFFREY L. ANDERSON, O.D.
- Doing business as
- Lifetime Eye Care
- Practice address
- 1608 1St St NW
Rochester, MN 55901-0318 - Phone
- (507) 282-7121
- NPI assigned
- Mar 2, 2007
- Last updated
- May 13, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffrey Leon Anderson, O.D.
- Title
- Owner Optometrist
- Phone
- (507) 282-7121
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2665 | MN | Primary |
Addresses
Primary practice location
1608 1St St NW
Rochester, MN 55901-0318
Mailing address
1608 1St St NW
Rochester, MN 55901-0318
Phone (507) 282-7121
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 605K3LI | Other | MN | BLUE CROSS BLUE SHIELD |
| 916891050630 | Other | MN | PREFERRED ONE |
| 031217700 | Medicaid | MN | |
| 22-00464 | Other | MN | MEDICA |
| 39797WE | Other | MN | BLUE CROSS BLUE SHIELD |
| HP77005 | Other | MN | HEALTHPARTNERS |
| 763132000 | Medicaid | MN | |
| 628A8SI | Other | MN | BLUE CROSS BLUE SHIELD |
| 766571021763 | Other | MN | PREFERRED ONE |
| HP52030 | Other | MN | HEALTHPARTNERS |
| 108909 | Other | MN | HEALTHPARTNERS |
| 131927 | Other | MN | UCARE |
| 138801 | Other | MN | UCARE |
| 6C464AN | Other | MN | BLUE CROSS BLUE SHIELD |
Other names 1
- Lifetime Eye Care
National Provider Directory
National Provider Directory- Tax ID family
- Family Eye Care Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 7
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.
-
- Optometrist
- Austin, MN
- NPI 1427044916
-
- Optometrist
- Austin, MN
- NPI 1093406464
-
- Optometrist
- Duluth, MN
- NPI 1669851192
-
- Optometrist
- Austin, MN
- NPI 1366000697
-
- Optometrist
- Rochester, MN
- NPI 1831253327
-
- Optometrist
- Rochester, MN
- NPI 1114948734
-
- Optometrist
- Casper, WY
- NPI 1083106843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210636800000",
"number": "1770611477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1608 1ST ST NW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559010318",
"telephone_number": "507-282-7121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1608 1ST ST NW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559010318",
"telephone_number": "507-282-7121"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFREY L. ANDERSON, O.D.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-02",
"last_updated": "2008-05-13",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "LEON",
"authorized_official_title_or_position": "OWNER OPTOMETRIST",
"authorized_official_telephone_number": "507-282-7121",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MN",
"license": "2665",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "605K3LI",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "916891050630",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "031217700",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "22-00464",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "39797WE",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP77005",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "763132000",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "628A8SI",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "766571021763",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP52030",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "108909",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "131927",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "138801",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "6C464AN",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lifetime Eye Care",
"code": "3",
"type": "Doing Business As"
}
]
}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 May 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.