Exclusive Eyewear No. 2, LLC
NPI #1073123352 in Pompano Beach, Florida
Provider Information
- NPI Number
- 1073123352
- Entity Type
- Organization
- Organization Name
- Exclusive Eyewear No. 2, LLC
- Primary Specialty
- Optometrist
- Enumeration Date
- Aug 3, 2020
- Last Updated
- Mar 16, 2021
Practice Location
- Address
- 1156 - 1158 FEDERAL HIGHWAY
- City
- Pompano Beach
- State
- Florida
- ZIP Code
- 33062
- Phone
- (561) 275-2020
Authorized Official
- Name
- JACKIE BENNETT
- Title
- CREDENTIALING SUPERVISOR
- Phone
- (561) 612-4531
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
| Optometrist |
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