Whalio Doctors

NPI 1316107790

Lifetime Eye Care of Rochester INC

Organisation Optometrist Rochester, MN

Practice location

Address
3632 10th Ln NW Suite 2, Rochester, MN 55901-7032
Phone
(507) 282-7121

Authorised official

Name
Jeffrey Leon Anderson
Title
Optometrist
Phone
(507) 282-7121

Registered specialties (2)

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 2665 (MN)
Eyewear Supplier
Suppliers Taxonomy 332H00000X Licence 2665 (MN)

Registry record

NPI
1316107790
Entity type
Organization
NPI issued
10 Jun 2008
Record last updated
1 Apr 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.