IndividualActive
Benjamin Lane, OD, MPH, FAAO, FACN
NPI 1164465167 · Vision Therapy Optometrist · Lake Hiawatha, NJ
Provider details
- NPI number
- 1164465167
- Entity type
- Individual
- Primary specialty
- Vision Therapy OptometristEye and Vision Services Providers
- Credential
- OD, MPH, FAAO, FACN
- Sex
- Male
- Sole proprietor
- Yes
- License
- 27OA263500 (NJ)
Practice location
16 N Beverwyck Rd
Lake Hiawatha, NJ 07034-2502
Phone: (973) 335-0111
Fax: (973) 541-1649
Mailing address
16 N Beverwyck Rd
Lake Hiawatha, NJ 07034-2502
Registry dates
- Enumerated
- 2006-06-14
- Last updated
- 2009-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.