EXCLUSIVE EYEWEAR NO. 2 LLC NPI 1790396810

NPI Information

NPI: 1790396810
Provider Name: EXCLUSIVE EYEWEAR NO. 2, LLC
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
1150 N FEDERAL HWY STE 11561158
POMPANO BEACH, FL
ZIP 33062
Phone: (954) 582-2100
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EXCLUSIVE EYEWEAR NO. 2, LLC is an eyewear supplier in Pompano Beach, FL. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. EXCLUSIVE EYEWEAR NO. 2, LLC NPI is 1790396810. The provider is registered as an organization entity type.

The provider's business location address is:

1150 N FEDERAL HWY STE 11561158
POMPANO BEACH, FL
ZIP 33062-322
Phone: (954) 582-2100
Fax: (561) 828-8367

The provider's authorized official is Jackie Bennett .
The authorized official title is Credentialing Supervisor and has the following contact phone number (561) 612-4531.

The enumeration date for this NPI number is 8/12/2020 and was last updated on 2/19/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332H00000X	Eyewear Supplier				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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