NPIMap

Organization Active NPI

Lifetime Vison and Eye Care Inc.

  • Optometrist
  • Plantation, FL
National Provider Identifier
1407201114
Registry record updated May 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4836 Issued in FL
Legal business name
LIFETIME VISON AND EYE CARE INC.
Practice address
1600 SW 78TH Ave
Apt 422
Plantation, FL 33324-3392
Phone
(954) 600-5975
NPI assigned
May 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Benjamin J Thayil, ODNPI 1891130258
Title
President
Phone
(954) 600-5975

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC4836 FL Primary

Addresses

Primary practice location

1600 SW 78TH Ave
Apt 422
Plantation, FL 33324-3392

Mailing address

1600 SW 78TH Ave
Apt 422
Plantation, FL 33324-3392
Phone (954) 600-5975

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462060800000",
    "number": "1407201114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 SW 78TH AVE",
            "address_2": "APT 422",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243392",
            "telephone_number": "954-600-5975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW 78TH AVE",
            "address_2": "APT 422",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243392",
            "telephone_number": "954-600-5975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME VISON AND EYE CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-01",
        "last_updated": "2016-05-01",
        "status": "A",
        "authorized_official_last_name": "THAYIL",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-600-5975",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.