Lifestyle Vision Center, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

LIFESTYLE VISION CENTER, PLLC

Practice address

1618 W Church St
Livingston, TX 77351-9043

Phone

(936) 327-6379

NPI assigned

Mar 30, 2007

Last updated

Aug 22, 2020By 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

Kathleen B. Moore, ODNPI 1477673523

Title

Owner

Phone

(936) 327-6379

Specialties & licenses 1

Addresses

Other identifiers 10

Locations

Practitioners 2

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.

• Kathleen B. Moore, OD

  • Pediatric Optometrist
  • Livingston, TX
  • NPI 1477673523
  NPD (past) Authorized official
• Lili C Chu, O.D.

  • Optometrist
  • Pearland, TX
  • NPI 1740408442
  NPD (past)

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952421091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 W CHURCH ST",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773519043",
            "telephone_number": "936-327-6379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 W CHURCH ST",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773519043",
            "telephone_number": "936-327-6379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTYLE VISION CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-327-6379",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL VISION ADMINISTR",
            "identifier": "560275",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS",
            "identifier": "22728",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "47746",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL EYE SERVICES",
            "identifier": "28457",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STERLING",
            "identifier": "U157848",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0007955602",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "29FF",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTICARE",
            "identifier": "30222",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "12709",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLOCK INSURANCE",
            "identifier": "930767",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherry L Levesque, OTR
• Chris Lewis, DDS
• Liberty County Hospital District No 1 (Pine Ridge Health Care)
• Liberty County Hospital District No 1 (Timberwood Nursing and Rehabilitation Center)
• Jairo Andres Libreros, M.D.
• Lifetime Eyecare in Livingston, P.C.
• Lincare Inc.
• Matthias Litzmann, LPC
• Livingston Family Dentistry, PLLC
• Livingston Family Medicine, P.a.

• Optometrist in Livingston, TX
• Providers in Livingston, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.