Lifetime Vision Care LLC
Lifetime Vision Care LLC is a healthcare organization registered as Medical Specialty Clinic/Center in Bend, OR, holding Type 2 (organization) NPI 1073886412 since 2012. The authorized official on file is Derri Sandberg, Optometrist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1073886412 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Lifetime Vision Care LLC |
| Practice address | 901 NW CARLON AVE, SUITE 2, Bend, OR, 97703 |
| Phone | 5413823242 |
| Fax | 5413173579 |
| Enumeration date | 2012-02-15 |
| Last updated in NPPES | 2015-07-15 |
Authorized official
| Name | Derri Sandberg |
|---|---|
| Title | Optometrist |
| Phone | 5413823242 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QM2500X | Medical Specialty Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Lifetime Vision Care LLC NPI: 1073886412 Taxonomy: 261QM2500X (Medical Specialty Clinic/Center) Address: 901 NW CARLON AVE, SUITE 2, Bend, OR, 97703
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1154435162 | Carl Ryan | Individual | Optometrist | Bend, OR |
| 1508961731 | Lifetime Vision Care | Organization | Optometrist | Bend, OR |
| 1881841781 | Brock Karben | Individual | Optometrist | Bend, OR |
| 1962787010 | Daniela Minnis | Individual | Optometrist | Bend, OR |
| 1215355359 | Katherine Stahrr | Individual | General Practice Dentistry | Bend, OR |
| 1295197226 | Stephanie Rettenmeier | Individual | Optometrist | Bend, OR |
| 1710449277 | Samuel Elcik | Individual | Dentist | Bend, OR |
Verify this record
Cross-check NPI 1073886412 against the authoritative CMS record: view Lifetime Vision Care LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Lifetime Vision Care LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2015-07-15.