Eugene Bennett, OD

Optometrist · Tyler, TX

Individual Active NPI

NPI number 1679627301

Practice location

4824 S Broadway Ave
Tyler, TX 75703-1312
Phone
(903) 581-2020
Fax
(903) 509-1492

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NPI record

NPI
1679627301
Entity type
Individual (Type 1)
Enumeration date
January 22, 2007
Last updated
July 9, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 1848 TX

About Dr. Bennett

Eugene Bennett, OD is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 4824 S Broadway Ave, Tyler, TX 75703-1312. The NPI number 1679627301 was assigned on January 22, 2007 and the record was last updated on July 9, 2007.

Dr. Bennett lists a license in the registry: #1848 (TX) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Eugene Bennett, OD?

The NPI number is 1679627301.

What is the phone number of Dr. Bennett?

The phone number listed for the practice location is (903) 581-2020.

Where is Dr. Bennett located?

4824 S Broadway Ave, Tyler, TX 75703-1312.

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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