Cheryl L Bennett, OD
Optometrist in Petersburg, WV. Individual provider (NPI-1).
NPI number1245303213
StatusActive
Last updated in NPPESJun 23, 2020
Details
- NPI
- 1245303213
- Entity type
- Individual (NPI-1)
- Name
- Cheryl L Bennett
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 16, 2006
- Certification date
- Jun 23, 2020
- Last updated
- Jun 23, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 984 D | WV | Yes |
Practice location
28 Virginia AvePetersburg, WV 26847
Phone 681-892-0393 · Fax 681-892-0299
Mailing address
28 Virginia AvePetersburg, WV 26847-1740
Phone 681-892-0393 · Fax 681-892-0299
Other practice locations
1255 Pineview Dr
Morgantown, WV 26505-2713
Morgantown, WV 26505-2713
Phone 304-598-3301 · Fax 304-599-7346
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