Lisa Benham is a Optometrist in Corona, California. Lisa Benham practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Lisa Benham is 1518936947. The last update date is 2023-03-07.
Lisa Benham's current location address is 2791 Green River Rd, Corona, California. You can contact this provider via phone number 9517362020 and fax number 9517362002. The mailing address for Lisa Benham is 2791 Green River Rd, Corona, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Benham |
|---|---|
| Address | 2791 Green River Rd, Corona, California |
| Phone Number | 9517362020 |
| Fax Number | 9517362002 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1518936947 |
|---|---|
| Provider Enumeration Date | 2006-03-16 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 2791 Green River Rd |
|---|---|
| City | Corona |
| State | California (CA) |
| Post Code | 928827426 |
| Phone Number | 9517362020 |
| Fax Number | 9517362002 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | OPT9202T |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| SD0092020 | CA | -- |
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What is the unique identifier code issued to Lisa Benham by the Centers for Medicare & Medicaid Services?
The Lisa Benham has been assigned the NPI (National Provider Identifier) 1518936947. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Lisa Benham's physical address?
The Lisa Benham is physically located at 2791 Green River Rd, in the city of Corona, CA, with the postal code 928827426.
What is Lisa Benham's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Lisa Benham's specialized field of practice is Optometrist, and the corresponding taxonomy code that categorizes this area of specialization is 152W00000X.
When did the Lisa Benham receive its 1518936947?
The Lisa Benham was issued its 1518936947 on 2006-03-16, which is the date when the organization was assigned this unique identifier.
When was the Lisa Benham's information last updated?
The Lisa Benham's information was last updated on 2023-03-07.
NPI Number: 1396728002
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