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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. BENJAMIN CLARENCE LANE, OD, MPH, FAAO, FACN

Active Sole Proprietor

DR. BENJAMIN CLARENCE LANE, OD, MPH, FAAO, FACN is a Vision Therapy Optometrist healthcare provider located in LAKE HIAWATHA, New Jersey. NPI 1164465167 is currently active in the NPPES registry. Verify at CMS.

Vision Therapy Optometrist · LAKE HIAWATHA, NJ

Registration Details

NPI Number
1164465167
Provider Type
Individual
Gender
Male
NPI Issued
Jun 14, 2006 (20.189166056293 yrs)
Last Updated
Mar 27, 2009
License
27OA263500 (NJ)
Sole Proprietor
Yes

Practice Information

Address
16 N BEVERWYCK RD
LAKE HIAWATHA, NJ, 070342502
Browse NJ providers · Browse ZIP 07034
Phone
9733350111
Fax
9735411649
Primary Specialty
Vision Therapy Optometrist
152WV0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.