Cheryl L Bennett Od PLLC
Optometrist in Petersburg, WV. Organization (NPI-2).
NPI number1720525322
StatusActive
Last updated in NPPESJun 23, 2020
Details
- NPI
- 1720525322
- Entity type
- Organization (NPI-2)
- Legal business name
- Cheryl L Bennett Od PLLC
- Organization subpart
- No
- Enumeration date
- Jan 21, 2017
- Certification date
- Jun 23, 2020
- Last updated
- Jun 23, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 984-IOD | WV | Yes |
Other names
- The Spectacle Family Eye Care (Doing Business As)
Practice location
28 Virginia AvePetersburg, WV 26847-1740
Phone 304-642-4490
Mailing address
28 Virginia AvePetersburg, WV 26847-1740
Phone 681-892-0393
Other practice locations
100 Buckhannon
Buckhannon, WV 26201-8422
Buckhannon, WV 26201-8422
Phone 304-472-7703 · Fax 304-472-8808
Authorized official
Cheryl L Bennett
Doctor/Owner
6818920393
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