Lifetime Vison and Eye Care Inc.

NPI #1407201114 in Plantation, Florida

Provider Information

NPI Number: 1407201114
Entity Type: Organization
Organization Name: Lifetime Vison and Eye Care Inc.
Primary Specialty: Optometrist
Enumeration Date: May 1, 2016
Last Updated: May 1, 2016

Practice Location

Address: 1600 SW 78TH AVE
Address 2: APT 422
City: Plantation
State: Florida
ZIP Code: 33324-3392
Phone: (954) 600-5975

Authorized Official

Name: DR. BENJAMIN J THAYIL, OD
Title: PRESIDENT
Phone: (954) 600-5975

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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