Dr Bennett LLC

Optometrist · Fort Wayne, IN

Organization Active NPI

NPI number 1164046967

Practice location

1850 E Dupont Rd
Fort Wayne, IN 46825-1581
Phone
(260) 490-1060

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NPI record

NPI
1164046967
Entity type
Organization (Type 2)
Enumeration date
June 8, 2020
Last updated
June 17, 2020
Certified
June 17, 2020
Organization subpart
Yes
Parent organization
Dr Bennett LLC

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X — —

Authorized official

Name
Dr. Lance Bennett, OD
Title
Optometrist
Phone
(260) 417-3467

Other practice locations (1)

  • 1401 N 13th St, Decatur, IN 46733-3139 · (260) 724-2517

About Dr Bennett LLC

Dr Bennett LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 1850 E Dupont Rd, Fort Wayne, IN 46825-1581. The NPI number 1164046967 was assigned on June 8, 2020 and the record was last updated on June 17, 2020.

The authorized official for this organization is Dr. Lance Bennett, OD, Optometrist.

Frequently asked questions

What is the NPI number of Dr Bennett LLC?

The NPI number is 1164046967.

What is the phone number of Dr Bennett LLC?

The phone number listed for the practice location is (260) 490-1060.

Where is Dr Bennett LLC located?

1850 E Dupont Rd, Fort Wayne, IN 46825-1581.

What is the taxonomy code for Dr Bennett LLC?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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