# LIFESTYLE OPTICIANS

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

## Provider details

- **NPI number:** 1609049394
- **Authorized official:** MR. MIGUEL E BRINON OPTICIAN (OPTICIAN)
- **Authorized official phone:** (954) 981-5455

## Contact information

- **Practice address:** 7183 PEMBROKE RD, PEMBROKE PINES, FL 33023-2626
- **Practice address phone:** (954) 981-5455
- **Practice address fax:** (954) 981-2020
- **Mailing address:** 7183 PEMBROKE RD, PEMBROKE PINES, FL 33023-2626
- **Mailing address phone:** (954) 981-5455
- **Mailing address fax:** (954) 981-2020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | OE 0000037 | FL | Yes |

## Other

- **Enumeration date:** 04/02/2008
- **Last updated:** 04/02/2008