Jeffery L. Dibenedetto in Denham Springs - Corneal And Contact Management
Jeffery L. Dibenedetto - NPI 1255360525
Jeffery L. Dibenedetto is a Corneal And Contact Management in Denham Springs, Louisiana. Jeffery L. Dibenedetto practices all healthcare services and medical treatments related to Corneal And Contact Management. The NPI Number for Jeffery L. Dibenedetto is 1255360525. The last update date is 2012-01-27.
Jeffery L. Dibenedetto's current location address is 2290 S Range Ave, Denham Springs, Louisiana. You can contact this provider via phone number 2256652019 and fax number 2256652089. The mailing address for Jeffery L. Dibenedetto is 2290 S Range Ave, Denham Springs, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffery L. Dibenedetto |
|---|---|
| Address | 2290 S Range Ave, Denham Springs, Louisiana |
| Phone Number | 2256652019 |
| Fax Number | 2256652089 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1255360525 |
|---|---|
| Provider Enumeration Date | 2006-06-30 |
| Last Updated Date | 2012-01-27 |
Provider Mailing Address Detail
| Address | 2290 S Range Ave |
|---|---|
| City | Denham Springs |
| State | Louisiana (LA) |
| Post Code | 707265214 |
| Phone Number | 2256652019 |
| Fax Number | 2256652089 |
Provider's Primary Taxonomy Detail
| Speciality | Corneal And Contact Management |
|---|---|
| Taxonomy | 152Wc0802X |
| Licence No | 1321-456T |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1105350 | LA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jeffery L. Dibenedetto by the Centers for Medicare & Medicaid Services?
The Jeffery L. Dibenedetto has been issued the NPI (National Provider Identifier) 1255360525 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Jeffery L. Dibenedetto?
The Jeffery L. Dibenedetto is situated at 2290 S Range Ave, in the city of Denham Springs, state of LA, with the zip code 707265214.
What is the Jeffery L. Dibenedetto's area of specialization and corresponding taxonomy classification?
The Jeffery L. Dibenedetto's specialty field is Corneal And Contact Management, and it falls under the taxonomy code 152Wc0802X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1255360525 to Jeffery L. Dibenedetto?
The Centers for Medicare & Medicaid Services originally issued the 1255360525 to Jeffery L. Dibenedetto on 2006-06-30.
As of what date were the details pertaining to Jeffery L. Dibenedetto last refreshed?
The information related to the Jeffery L. Dibenedetto, including its address, specialty, and other relevant details, was last updated on 2012-01-27.