Lifetime Vision Care
Lifetime Vision Care is a healthcare organization registered as Optometrist in Bend, OR, holding Type 2 (organization) NPI 1508961731 since 2006. The authorized official on file is Derri Sandberg, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1508961731 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Lifetime Vision Care |
| Practice address | 901 NW CARLON AVE, SUITE 2, Bend, OR, 97703 |
| Phone | 5413823242 |
| Fax | 5413173579 |
| Enumeration date | 2006-09-13 |
| Last updated in NPPES | 2015-07-14 |
Authorized official
| Name | Derri Sandberg |
|---|---|
| Title | Owner |
| Phone | 5413823242 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 152W00000X | Optometrist | Primary | 3213ATI | OR |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R163759 | Other | OR | MEDICARE PTAN |
Copy-ready billing details
Provider: Lifetime Vision Care NPI: 1508961731 Taxonomy: 152W00000X (Optometrist) 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 |
| 1881841781 | Brock Karben | Individual | Optometrist | Bend, OR |
| 1962787010 | Daniela Minnis | Individual | Optometrist | Bend, OR |
| 1073886412 | Lifetime Vision Care LLC | Organization | Medical Specialty Clinic/Center | 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 1508961731 against the authoritative CMS record: view Lifetime Vision Care 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
How current is this record?
Where is Lifetime Vision Care located?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2015-07-14.