Benson Vision Source, Inc.

Optometrist · Kent, WA

Organization Active NPI

NPI number 1679601512

Practice location

25022 104TH Ave SE Ste D
Kent, WA 98030-2822
Phone
(253) 859-1911
Fax
(253) 859-5084

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NPI record

NPI
1679601512
Entity type
Organization (Type 2)
Enumeration date
March 1, 2007
Last updated
November 26, 2012
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X OD00003501 WA

Authorized official

Name
Dr. Thomas L Mitchell, O.D.
Title
President
Phone
(253) 859-1911

About Benson Vision Source, Inc.

Benson Vision Source, Inc. is a healthcare organization registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 25022 104TH Ave SE Ste D, Kent, WA 98030-2822. The NPI number 1679601512 was assigned on March 1, 2007 and the record was last updated on November 26, 2012.

Benson Vision Source, Inc. lists a license in the registry: #OD00003501 (WA) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Thomas L Mitchell, O.D., President.

Frequently asked questions

What is the NPI number of Benson Vision Source, Inc.?

The NPI number is 1679601512.

What is the phone number of Benson Vision Source, Inc.?

The phone number listed for the practice location is (253) 859-1911.

Where is Benson Vision Source, Inc. located?

25022 104TH Ave SE Ste D, Kent, WA 98030-2822.

What is the taxonomy code for Benson Vision Source, Inc.?

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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