Dr. Eugene Bennett, OD
Optometrist in Tyler, TX. Individual provider (NPI-1).
NPI number1679627301
StatusActive
Last updated in NPPESJul 9, 2007
Details
- NPI
- 1679627301
- Entity type
- Individual (NPI-1)
- Name
- Dr. Eugene Bennett
- Credential
- OD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 22, 2007
- Last updated
- Jul 9, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 1848 | TX | Yes |
Practice location
4824 S Broadway AveTyler, TX 75703-1312
Phone 903-581-2020 · Fax 903-509-1492
Mailing address
4824 S Broadway AveTyler, TX 75703-1312
Phone 903-581-2020 · Fax 903-509-1492
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