Jackson Romaine Bennett Jr., O.D.
Optometrist · Peoria, IL
Practice location
4530 N Brandywine DrEyeglass World 12
Peoria, IL 61614-5570
- Phone
- (309) 682-5833
- Fax
- (309) 682-5929
NPI record
- NPI
- 1316098791
- Entity type
- Individual (Type 1)
- Enumeration date
- January 14, 2007
- Last updated
- July 8, 2007
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X |
— | IL |
About Dr. Bennett
Jackson Romaine Bennett Jr., O.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 4530 N Brandywine Dr, Eyeglass World 12, Peoria, IL 61614-5570. The NPI number 1316098791 was assigned on January 14, 2007 and the record was last updated on July 8, 2007.
Frequently asked questions
What is the NPI number of Jackson Romaine Bennett Jr., O.D.?
The NPI number is 1316098791.
What is the phone number of Dr. Bennett?
The phone number listed for the practice location is (309) 682-5833.
Where is Dr. Bennett located?
4530 N Brandywine Dr, Eyeglass World 12, Peoria, IL 61614-5570.
What is the taxonomy code for Dr. Bennett?
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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