OrganizationActive
Exclusive Eyewear No. 1, LLC
NPI 1902400609 · Optometrist · Plantation, FL
Exclusive Eyewear No. 1, LLC is a Optometrist organization in Plantation, FL (NPI 1902400609).
Provider details
- NPI number
- 1902400609
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Jackie Bennett, Credentialing Manager(561) 275-2020
Specialties & taxonomies
Eye and Vision Services Providers
- Eyewear Supplier332H00000X
Suppliers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12233 W Sunrise Blvd
Plantation, FL 33323-2234
Phone: (954) 824-2400
Fax: (561) 828-8367
Street-level locationGet directions
Mailing address
12233 W Sunrise Blvd
Plantation, FL 33323-2234
Other names (DBA / former)
- Doing business as
- My Eyelab
Registry dates
- Enumerated
- 2020-11-24
- Last updated
- 2021-02-19
- Certified
- 2021-02-19
Frequently asked questions
- What is Exclusive Eyewear No. 1, LLC's NPI number?
- Exclusive Eyewear No. 1, LLC's National Provider Identifier (NPI) is 1902400609, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Exclusive Eyewear No. 1, LLC?
- Exclusive Eyewear No. 1, LLC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Exclusive Eyewear No. 1, LLC located?
- Exclusive Eyewear No. 1, LLC's practice location on file with NPPES is 12233 W Sunrise Blvd, Plantation, FL 33323-2234.
- What is Exclusive Eyewear No. 1, LLC's phone number?
- The practice phone number listed in the NPPES registry for Exclusive Eyewear No. 1, LLC is (954) 824-2400.
- Who is the authorized official for Exclusive Eyewear No. 1, LLC?
- The authorized official listed on Exclusive Eyewear No. 1, LLC's NPPES record is Jackie Bennett, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Exclusive Eyewear No. 1, LLC's NPI active?
- Yes — Exclusive Eyewear No. 1, LLC's NPI (1902400609) is active in the NPPES registry as of the last update on 2021-02-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.