Individual provider · NPI-1

Dr. Alexandra Clarisa Bennett, O.D

Optometrist · Bethesda, MD

NPI number1427426675
StatusActive
Last updated in NPPESFeb 8, 2017

Details

NPI
1427426675
Entity type
Individual (NPI-1)
Name
Dr. Alexandra Clarisa Bennett
Credential
O.D
Sex
Female
Sole proprietor
No
Enumeration date
Sep 4, 2015
Last updated
Feb 8, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X OptometristOEG003119PAYes
152W00000X Optometrist0618002499VA

Practice location

8901 Rockville Pike
Bethesda, MD 20889-0001

Phone 301-319-7001

Mailing address

8901 Rockville Pike
Bethesda, MD 20889-5600

Phone 301-319-7001

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