Lifetime Eyecare Center LLC

NPI #1619180775 in Viera, Florida

Provider Information

NPI Number: 1619180775
Entity Type: Organization
Organization Name: Lifetime Eyecare Center LLC
Primary Specialty: Eyewear Supplier
Enumeration Date: May 7, 2007
Last Updated: Jan 4, 2011

Practice Location

Address: 5455 MURRELL RD
Address 2: SUITE 107
City: Viera
State: Florida
ZIP Code: 32955-6615
Phone: (321) 636-1972

Authorized Official

Name: DR. MARK ROWELL FISHER, O.D.
Title: OPTOMETRIC PHYSICIAN
Phone: (321) 636-1972

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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