| Lifetime Eye Care Of Rochester Inc | |
|
3632 10th Ln Nw, Suite 2, Rochester, MN 55901-7032 | |
| (507) 282-7121 | |
| Not Available |
| Full Name | Lifetime Eye Care Of Rochester Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 3632 10th Ln Nw, Rochester, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316107790 | NPI | - | NPPES |
| 09Y97AN | Other | MN | BLUE CROSS BLUE SHIELD |
| 09Y99LI | Other | MN | BLUE CROSS BLUE SHIELD |
| 09Y96LI | Other | MN | BLUE CROSS BLUE SHIELD |
| 09Y98SI | Other | MN | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2665 (Minnesota) | Primary |
| 332H00000X | Eyewear Supplier | 2665 (Minnesota) | Secondary |
| Provider Name | Dominic A Miron |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831253327 PECOS PAC ID: 1951203470 Enrollment ID: I20040124000209 |
| Provider Name | Jeffrey L Anderson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427044916 PECOS PAC ID: 0749244887 Enrollment ID: I20041117001062 |
| Provider Name | Christine A Leska |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225064843 PECOS PAC ID: 6709828072 Enrollment ID: I20050526000239 |
| Provider Name | Courtney R Sivertson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114948734 PECOS PAC ID: 4880799105 Enrollment ID: I20070416000417 |
| Provider Name | Roshani P Sellon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902850647 PECOS PAC ID: 5890861538 Enrollment ID: I20080904000308 |
| Provider Name | Dessie Dee Mason |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366000697 PECOS PAC ID: 8426381310 Enrollment ID: I20190607001803 |
| Provider Name | Nikita Katoozi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083106843 PECOS PAC ID: 2860739513 Enrollment ID: I20190803000144 |
| Provider Name | Aleesha Lee Anderson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093406464 PECOS PAC ID: 6709243041 Enrollment ID: I20230601001722 |
| Provider Name | Hannah Wagenknecht |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437833373 PECOS PAC ID: 7618335639 Enrollment ID: I20230623001897 |
| Mailing Address | Practice Location Address |
|---|---|
| Lifetime Eye Care Of Rochester Inc 3632 10th Ln Nw, Suite 2, Rochester, MN 55901-7032 Ph: (507) 282-7121 | Lifetime Eye Care Of Rochester Inc 3632 10th Ln Nw, Suite 2, Rochester, MN 55901-7032 Ph: (507) 282-7121 |
Huber Eyecare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2711 Commerce Dr Nw, Suite 100, Rochester, MN 55901 Phone: 773-802-5829 | |
Dr. Jodi M. Moore-weiss, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Huber Eyecare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1161 Maine Ave Se #4430, Target Optical, Rochester, MN 55904 Phone: 507-206-5020 | |
Dr. Eva Y So, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3630 11th Ave Nw, Rochester, MN 55901 Phone: 507-288-2457 Fax: 507-288-1299 | |
Dr. Loren John Baldus, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3630 11th Ave Nw, Rochester, MN 55901 Phone: 507-288-2457 | |
Dr. Courtney Ray Sivertson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3632 10th Ln Nw, Rochester, MN 55901 Phone: 507-282-7121 | |
Andrea Marie Lloyd, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3708 Hwy 63 N, Rochester, MN 55906 Phone: 507-281-0657 Fax: 507-281-4614 |