Exclusive Eyewear No. 2, LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

EXCLUSIVE EYEWEAR NO. 2, LLC

Practice address

1150 N Federal Hwy Ste 11561158
Pompano Beach, FL 33062-4322

Phone

(954) 582-2100

Fax

(561) 828-8367

NPI assigned

Aug 12, 2020

Last updated

Feb 19, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jackie Bennett

Title

Credentialing Supervisor

Phone

(561) 612-4531

Specialties & licenses 1

Addresses

Tax ID family

Exclusive Eyewear No 2 LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Exclusive Eyewear No. 2, LLC

  • Optometrist
  • Pompano Beach, FL
  • NPI 1073123352
  NPD tax ID

Locations

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613692800000",
    "number": "1790396810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1156 - 1158 FEDERAL HIGHWAY",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "33062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N FEDERAL HWY STE 11561158",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330624322",
            "telephone_number": "954-582-2100",
            "fax_number": "561-828-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCLUSIVE EYEWEAR NO. 2, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-12",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "CREDENTIALING SUPERVISOR",
        "authorized_official_telephone_number": "561-612-4531"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evolution Health
• Claudia Ewald
• Karestin Lynn Ewen, BA
• Rose Mary Ewing, PA
• Exclusive Eyewear No. 2, LLC
• Expanse Counseling
• Eyal Cohen LLC (Wigs by Jolie)
• Eyewear Republic
• Ez Care Chiropractic Clinic Inc
• Alexandra Fabien

• Eyewear Supplier in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Eyewear Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; 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.