# DR. BENJAMIN THAYIL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1891130258
- **Gender:** Man
- **Credential:** O.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC4836 | FL | Yes |
| 152WC0802X | Corneal and Contact Management Optometrist | OPC4836 | FL | — |
| 152WL0500X | Low Vision Rehabilitation Optometrist | OPC4836 | FL | — |
| 152WP0200X | Pediatric Optometrist | OPC4836 | FL | — |
| 152WS0006X | Sports Vision Optometrist | OPC4836 | FL | — |
| 152WV0400X | Vision Therapy Optometrist | OPC4836 | FL | — |
| 152WX0102X | Occupational Vision Optometrist | OPC4836 | FL | — |

## Other

- **Enumeration date:** 04/30/2013
- **Last updated:** 08/27/2020