Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lifetime Vision Source of Lebanon LLC

Organization Optometrist · NPI 1710168877

Lifetime Vision Source of Lebanon LLC is an Optometrist in Lebanon, Oregon. Licensed in Oregon. Registered with an NPI since 2007.

Licensed in
OR
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

90 Market St Ste 20
Lebanon, OR 97355-2394
Phone: (541) 451-1144
Fax: (541) 451-1785
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 1400ATI (OR)

Record details

NPI number1710168877
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Teresa Turrentine — Administrative Assistant · (541) 451-1144
Other names Lifetime Vision Source Llc
NPI enumeratedNovember 16, 2007
Last updated in NPPESDecember 2, 2008
Mailing address90 Market St, Ste 20, Lebanon, OR 97355-2394

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