Lifetime Vision Care LLC
NPI 1073886412 · Medical Specialty Clinic/Center · Bend, OR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lifetime Vision Care LLC is a Medical Specialty Clinic/Center organization in Bend, OR (NPI 1073886412).
Provider details
- NPI number
- 1073886412
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Derri Sandberg, Optometrist(541) 382-3242
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-02-15
- Last updated
- 2015-07-15
Frequently asked questions
- What is Lifetime Vision Care LLC's NPI number?
- Lifetime Vision Care LLC's National Provider Identifier (NPI) is 1073886412, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lifetime Vision Care LLC?
- Lifetime Vision Care LLC is classified in the NPPES registry as Medical Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Lifetime Vision Care LLC located?
- Lifetime Vision Care LLC's practice location on file with NPPES is 901 Nw Carlon Ave, Bend, OR 97703-2636.
- What is Lifetime Vision Care LLC's phone number?
- The practice phone number listed in the NPPES registry for Lifetime Vision Care LLC is (541) 382-3242.
- Does Lifetime Vision Care LLC accept Medicare?
- Lifetime Vision Care LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lifetime Vision Care LLC?
- The authorized official listed on Lifetime Vision Care LLC's NPPES record is Derri Sandberg, Optometrist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lifetime Vision Care LLC's NPI active?
- Yes — Lifetime Vision Care LLC's NPI (1073886412) is active in the NPPES registry as of the last update on 2015-07-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.