# LIFETIME VISON AND EYE CARE INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407201114
- **Authorized official:** DR. BENJAMIN J THAYIL OD (PRESIDENT)
- **Authorized official phone:** (954) 600-5975

## Contact information

- **Practice address:** 1600 SW 78TH AVE, APT 422, PLANTATION, FL 33324-3392
- **Practice address phone:** (954) 600-5975
- **Mailing address:** 1600 SW 78TH AVE, APT 422, PLANTATION, FL 33324-3392
- **Mailing address phone:** (954) 600-5975

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC4836 | FL | Yes |

## Other

- **Enumeration date:** 05/01/2016
- **Last updated:** 05/01/2016