| Lifetime Vision Source | |
|
1060 W Elm Street, Suite 135, Hermiston, OR 97838-2724 | |
| (541) 567-6623 | |
| (541) 564-0277 |
| Full Name | Lifetime Vision Source |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1060 W Elm Street, Suite 135, Hermiston, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487838157 | NPI | - | NPPES |
| 295499 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2709ATI (Oregon) | Primary |
| 152W00000X | Optometrist | OD00003278 (Washington) | Secondary |
| Provider Name | David A Drotzmann |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407848476 PECOS PAC ID: 9436141975 Enrollment ID: I20040403000076 |
| Provider Name | Kollan P Arritt |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073711222 PECOS PAC ID: 5294859724 Enrollment ID: I20100903000828 |
| Provider Name | Stephanie K Uggen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215562160 PECOS PAC ID: 0345661021 Enrollment ID: I20200604002218 |
| Mailing Address | Practice Location Address |
|---|---|
| Lifetime Vision Source 1060 W Elm Street, Suite 135, Hermiston, OR 97838-2724 Ph: (541) 567-6623 | Lifetime Vision Source 1060 W Elm Street, Suite 135, Hermiston, OR 97838-2724 Ph: (541) 567-6623 |
Becky A. Collier, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1160 W Elm Ave, Hermiston, OR 97838 Phone: 541-567-6623 Fax: 541-564-0277 | |
Stephanie Uggen, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1160 W Elm Ave, Hermiston, OR 97838 Phone: 541-567-6623 | |
Robert D Rolen Iii Od Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 115 W Hermiston Ave Ste 130, Hermiston, OR 97838 Phone: 541-567-1837 Fax: 541-289-2022 | |
Delwin Gary Flint, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1160 W Elm Ave, Hermiston, OR 97838 Phone: 541-567-6623 Fax: 541-564-0277 | |
Dr. David A Drotzmann, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1060 W Elm Ave, Suite 135, Hermiston, OR 97838 Phone: 541-567-6623 Fax: 541-564-0277 | |
Pacific Vision Care, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1350 N 1st St, Hermiston, OR 97838 Phone: 541-567-5283 Fax: 541-567-5407 |