Tim A Bengtson O.D., P.C. in Macomb - Optometrist

Tim A Bengtson O.D., P.C. - NPI 1285646661

Tim A Bengtson O.D., P.C. is a Optometrist in Macomb, Illinois. Tim A Bengtson O.D., P.C. practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Tim A Bengtson O.D., P.C. is 1285646661. The last update date is 2008-05-08.

Tim A Bengtson O.D., P.C.'s current location address is 820 E Jackson St, Macomb, Illinois. You can contact this provider via phone number 3098334242. The mailing address for Tim A Bengtson O.D., P.C. is 820 E Jackson St, Macomb, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Tim A Bengtson O.D., P.C.
Address 820 E Jackson St, Macomb, Illinois
Phone Number 3098334242
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Bengtson Tim
Telephone Number 3098334242

NPI Number Detail

NPI Number 1285646661
Provider Enumeration Date 2006-08-13
Last Updated Date 2008-05-08

Provider Mailing Address Detail

Address 820 E Jackson St
City Macomb
State Illinois (IL)
Post Code 614552412
Phone Number 3098334242
Fax Number

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 46007904
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
46007904 IL --
5584005 IL BLUE CROSS BLUE SHIELD

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FAQs about Tim A Bengtson O.D., P.C.

What is the unique provider identifier assigned to Tim A Bengtson O.D., P.C.?

The Tim A Bengtson O.D., P.C. has been issued the NPI (National Provider Identifier) 1285646661 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Tim A Bengtson O.D., P.C.'s facilities are geographically located?

The facilities of Tim A Bengtson O.D., P.C. are physically situated at the following location: 820 E Jackson St, Macomb, IL, 614552412.

What is Tim A Bengtson O.D., P.C.'s specialized field of practice, and what is the corresponding taxonomy classification code?

The Tim A Bengtson O.D., P.C.'s area of specialization is Optometrist, and the corresponding taxonomy code that categorizes this field of practice is 152W00000X.

When was the Tim A Bengtson O.D., P.C.'s 1285646661 issued?

The Tim A Bengtson O.D., P.C.'s 1285646661 was issued on 2006-08-13.

When was the information pertaining to Tim A Bengtson O.D., P.C. most recently updated or revised?

The details related to Tim A Bengtson O.D., P.C., including its address, specialty, and other relevant information, were last updated or revised on 2008-05-08.

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