Organization
LIFETIME VISION AND EYE CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN THAYIL (OWNER)
(954) 600-5975
Entity
Organization
Contact information
Practice address
20354 NW 2ND AVE, MIAMI GARDENS, FL 33169-2503
(954) 600-5975
Mailing address
20354 NW 2ND AVE, MIAMI GARDENS, FL 33169-2503
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
05/09/2016
Last updated
05/09/2016
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