LIFESTYLE VISION CENTER, PLLC (NPI# 1952421091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952421091 |
| Entity Type | Organization |
| Organization Name | LIFESTYLE VISION CENTER, PLLC |
| Practice Address |
1618 W Church St Livingston TX 77351-9043 |
| Practice Telephone | 9363276379 |
| Mailing Telephone | 9363276379 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KATHLEEN B. MOORE (OWNER) |
| Authorized Official Telephone | 9363276379 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | AETNA | 0007955602 | 01 |
| TX | SPECTERA | 12709 | 01 |
| TX | MEDICAL EYE SERVICES | 28457 | 01 |
| TX | NATIONAL VISION ADMINISTR | 560275 | 01 |
| TX | STERLING | U157848 | 01 |
| TX | OPTICARE | 30222 | 01 |
| TX | BLUE CROSS BLUE SHIELD | 29FF | 01 |
| TX | DAVIS VISION | 47746 | 01 |
| TX | BLOCK INSURANCE | 930767 | 01 |
| TX | AVESIS | 22728 | 01 |
| Street Address |
1618 W CHURCH ST |
| City | LIVINGSTON |
| State | TX |
| Zip Code | 77351-9043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265765077 | Arshia K Khan | Optometrist | 1618 W Church St, Livingston, TX 77351-9043 | 2009-09-10 |
| 1649450149 | Crown Eye Care Center, P.C. | Optometrist | 1618 W Church St, Livingston, TX 77351-9043 | 2007-11-13 |
| 1477673523 | Kathleen B. Moore | Optometrist | 1618 W Church St, Livingston, TX 77351-9043 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881252765 | B&g Family Dentistry Pllc | Clinic/Center | 402 S Washington Ave, Livingston, TX 77351 | 2019-06-05 |
| 1518431907 | Clinton Jarell Collins | Occupational Therapist | 1620 Us-59 N, Livingston, TX 77351 | 2019-01-18 |
| 1205318417 | Christopher Hern | Nurse Practitioner | 1717 Us-59 Loop N, Livingston, TX 77351 | 2018-09-04 |
| 1831566520 | Susan Michelle Brownfield | Occupational Therapist | 1620 Old Us Hwy 59, Livingston, TX 77351 | 2015-08-28 |
| 1346643624 | Jigneshkumar Parmar | Dentist | 1774 Us 190 West, Livingston, TX 77351 | 2014-10-01 |
| 1063827954 | Faith Whatley-torres | Behavioral Analyst | 144 Branding Iron, Livingston, TX 77351 | 2014-06-30 |
| 1427481126 | Mary Elizabeth Kuruvilla | Dentist | 184 Ashton Bend, Livingston, TX 77351 | 2013-08-16 |
| 1255772778 | Waleed Khaled Ahmad | Dentist | 117 Southpoint Lane, Suite 400, Livingston, TX 77351 | 2013-07-12 |
| 1053750679 | Jacquelyn Y Flores | Dentist | 1114 N. Washingtion Ave., Livinston, TX 77351 | 2013-06-17 |
| 1750725131 | Womans Clinic At Livingston Pllc | Radiology | 111 Emergency Dr., Ste C, Livingston, TX 77351 | 2013-04-29 |
| Find all providers in zip 77351 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609424308 | Alexander Christian Jobe | Optometrist | 200 S Orange Ave # 209, Livingston, NJ 07039-5817 | 2019-08-27 |
| 1912244740 | Eyekhan Eyecare Pllc | Optometrist | 1618 W. Church St Box 5, Livingston Eyecare, Livingston, TX 77351-9043 | 2013-01-14 |
| 1376831131 | Dana Beth Pollack | Optometrist | 1120 Town Center Way, Livingston, NJ 07039 | 2011-07-14 |
| 1215165519 | Ashley Wright Allred | Optometrist | 1970 Bradford Hicks Dr, Suite A, Livingston, TN 38570-1718 | 2009-06-24 |
| 1801069281 | Chin-tsai Cynthia Pong | Optometrist | 112 South Orange Avenue, Sears Optical / Livingston Mall, Livingston, NJ 07039-4904 | 2008-04-08 |
| 1336367937 | Stephanie Michele Davis | Optometrist | 200 Ogletree Dr, Livingston, TX 77351-6420 | 2007-04-22 |
| 1245268184 | William E. Watson | Optometrist | 1110 W. Church St, Livingston, TX 77351 | 2006-06-29 |
| 1538118773 | Optical Image of Livingston | Optometrist | 112 Eisenhower Pkwy, Suite 129, Livingston, NJ 07039-4995 | 2006-05-06 |
| 1982677787 | James J Barney | Optometrist | 305 West Park St, Livingston, MT 59047 | 2006-02-10 |
| 1730151804 | Lawrence G. Shapiro | Optometrist | 57 E Mount Pleasant Ave, Livingston, NJ 07039-3003 | 2006-02-03 |
| Find all providers in LIVINGSTON | ||||
| City | LIVINGSTON |
| Zip Code | 77351 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.