Eugene Bennett is a Optometrist in Tyler, Texas. Eugene Bennett practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Eugene Bennett is 1679627301. The last update date is 2007-07-09.
Eugene Bennett's current location address is 4824 S Broadway Ave, Tyler, Texas. You can contact this provider via phone number 9035812020 and fax number 9035091492. The mailing address for Eugene Bennett is 4824 S Broadway Ave, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eugene Bennett |
|---|---|
| Address | 4824 S Broadway Ave, Tyler, Texas |
| Phone Number | 9035812020 |
| Fax Number | 9035091492 |
| Sole Proprietor | Y |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1679627301 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 4824 S Broadway Ave |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757031312 |
| Phone Number | 9035812020 |
| Fax Number | 9035091492 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 1848 |
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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 |
|---|---|---|---|
| 751573775 | TX | TAX ID | |
| 19677601 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Eugene Bennett by the Centers for Medicare & Medicaid Services?
The Eugene Bennett has been issued the NPI (National Provider Identifier) 1679627301 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Eugene Bennett is physically located?
The Eugene Bennett is situated at the following address: 4824 S Broadway Ave, Tyler, TX 757031312.
What is Eugene Bennett's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Eugene Bennett is Optometrist, and the taxonomy code that categorizes this field of expertise is 152W00000X.
On what date did the Eugene Bennett receive its 1679627301 assignment from the Centers for Medicare & Medicaid Services?
The Eugene Bennett was assigned its 1679627301 by the Centers for Medicare & Medicaid Services on 2007-01-22.
As of what date were the details pertaining to Eugene Bennett last refreshed?
The information related to the Eugene Bennett, including its address, specialty, and other relevant details, was last updated on 2007-07-09.
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