LIFETIME EYECARE CENTER LLC NPI 1619180775

NPI Information

LIFETIME EYECARE CENTER LLC is an eyewear supplier in Viera, FL. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. LIFETIME EYECARE CENTER LLC NPI is 1619180775. The provider is registered as an organization entity type.
The provider Other Name Is Lifetime Eyecare.

The provider's business location address is:

5455 MURRELL RD
SUITE 107
VIERA, FL
ZIP 32955-615
Phone: (321) 636-1972
Fax: (321) 636-1507

The provider's authorized official is Mark Rowell Fisher .
The authorized official title is Optometric Physician and has the following contact phone number (321) 636-1972.

The CLIA number assigned to this NPI record is 10D2150863 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/7/2007 and was last updated on 1/4/2011.

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:

Other Identifiers

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