Organization
LIFETIME EYE CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL E MARUSICH OD (PRESIDENT)
(541) 342-3100
Entity
Organization
Contact information
Practice address
4765 VILLAGE PLAZA LOOP, STE 100, EUGENE, OR 97401
(541) 342-3100
(541) 342-6153
Mailing address
4765 VILLAGE PLAZA LOOP, STE 100, EUGENE, OR 97401
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1551AT
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
229179
—
OR
Enumeration date
06/24/2006
Last updated
08/22/2020
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