Exclusive Eyewear No. 1, LLC
NPI #1902400609 in Plantation, Florida
Provider Information
- NPI Number
- 1902400609
- Entity Type
- Organization
- Organization Name
- Exclusive Eyewear No. 1, LLC
- Primary Specialty
- Optometrist
- Enumeration Date
- Nov 24, 2020
- Last Updated
- Feb 19, 2021
Practice Location
- Address
- 12233 W SUNRISE BLVD
- City
- Plantation
- State
- Florida
- ZIP Code
- 33323-2234
- Phone
- (954) 824-2400
Authorized Official
- Name
- JACKIE BENNETT
- Title
- CREDENTIALING MANAGER
- Phone
- (561) 275-2020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
| Optometrist |
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