MY EYELAB
NPI 1902400609
Optometrist in Plantation, FL

Active since November 24, 2020
12233 W SUNRISE BLVD, PLANTATION, FL 33323(954) 824-2400(561) 828-8367 Get Directions Write a Review

NPPES record last updated: February 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 19, 2021, Nov 24, 2020 (2 updates tracked since 2020).

About My Eyelab NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MY EYELAB (NPI 1902400609) is a healthcare organization registered as an optometrist in Plantation, Florida and active in the NPI registry since November 2020. The organization lists Jackie Bennett, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1902400609
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameEXCLUSIVE EYEWEAR NO. 1, LLC
Location Address12233 W SUNRISE BLVDPlantation, FL 33323-2234
Mailing Address12233 W Sunrise BlvdPlantation, FL 33323-2234
Fax(561) 828-8367
Organization SubpartNo
Authorized OfficialJackie BennettCredentialing Manager · (561) 275-2020
Enumeration DateNovember 24, 2020
Last NPPES UpdateFebruary 19, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2021
NPI 1902400609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Also ListedEyewear SupplierTaxonomy 332H00000X
12233 W SUNRISE BLVD, Plantation, FL 33323

Other Names 1

Doing Business AsMy Eyelab

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Eyewear Supplier
12233 W SUNRISE BLVD
PLANTATION, FL 33323

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Exclusive Eyewear No. 1, LLC's NPI number?

The NPI number for Exclusive Eyewear No. 1, LLC is 1902400609. It was assigned to this organization in the NPPES registry on November 24, 2020. The provider is doing business as My Eyelab.

Where is Exclusive Eyewear No. 1, LLC located?

Exclusive Eyewear No. 1, LLC is located at 12233 W Sunrise Blvd, Plantation, FL 33323. The listed phone number is (954) 824-2400.

What is Exclusive Eyewear No. 1, LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Exclusive Eyewear No. 1, LLC was last updated on February 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.