Lifetime Eyecare Center Llc in Viera - Eyewear Supplier

Lifetime Eyecare Center Llc - NPI 1619180775

Lifetime Eyecare Center Llc is a Eyewear Supplier in Viera, Florida. Lifetime Eyecare Center Llc practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Lifetime Eyecare Center Llc is 1619180775. The last update date is 2011-01-04.

Lifetime Eyecare Center Llc's current location address is 5455 Murrell Rd, Viera, Florida. You can contact this provider via phone number 3216361972 and fax number 3216361507. The mailing address for Lifetime Eyecare Center Llc is 5455 Murrell Rd, Viera, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Lifetime Eyecare Center Llc
Address 5455 Murrell Rd, Viera, Florida
Phone Number 3216361972
Fax Number 3216361507
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OPTOMETRIC
Authorized Official Name Fisher Rowell Mark
Credentials O.D.
Telephone Number 3216361972

NPI Number Detail

NPI Number 1619180775
Provider Enumeration Date 2007-05-07
Last Updated Date 2011-01-04

Provider Mailing Address Detail

Address 5455 Murrell Rd
City Viera
State Florida (FL)
Post Code 329556615
Phone Number 3216361972
Fax Number 3216361507

Provider's Primary Taxonomy Detail

Speciality Eyewear Supplier
Taxonomy 332H00000X
Licence No OPC 1739
Definition:
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
19829 FL BCBS OF FL
78956900 FL --

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FAQs about Lifetime Eyecare Center Llc

What is the unique identifier code issued to Lifetime Eyecare Center Llc by the Centers for Medicare & Medicaid Services?

The Lifetime Eyecare Center Llc has been assigned the NPI (National Provider Identifier) 1619180775. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Where is the Lifetime Eyecare Center Llc located?

The Lifetime Eyecare Center Llc is located at 5455 Murrell Rd, Viera, FL 329556615.

What is Lifetime Eyecare Center Llc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Lifetime Eyecare Center Llc's area of specialization is Eyewear Supplier, and the corresponding taxonomy code that categorizes this field of practice is 332H00000X.

On what date did the Lifetime Eyecare Center Llc receive the assignment of its 1619180775 from the Centers for Medicare & Medicaid Services?

The Lifetime Eyecare Center Llc was issued its 1619180775 by the Centers for Medicare & Medicaid Services on 2007-05-07.

As of what date were the details related to Lifetime Eyecare Center Llc most recently updated or revised?

The information pertaining to Lifetime Eyecare Center Llc, including its address, specialty, and other relevant details, was last updated or revised on 2011-01-04.

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