Eugene D. Bennett

Optometrist · Tyler, TX

Organization Active NPI

NPI number 1922273754

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
1922273754
Entity type
Organization (Type 2)
Enumeration date
April 23, 2008
Last updated
January 12, 2010
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 1848 TX

Authorized official

Name
Eugene D Bennett, OD
Title
Owner
Phone
(903) 581-2020

About Eugene D. Bennett

Eugene D. Bennett is a healthcare organization 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 1922273754 was assigned on April 23, 2008 and the record was last updated on January 12, 2010.

Eugene D. 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.

The authorized official for this organization is Eugene D Bennett, OD, Owner.

Frequently asked questions

What is the NPI number of Eugene D. Bennett?

The NPI number is 1922273754.

What is the phone number of Eugene D. Bennett?

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

Where is Eugene D. Bennett located?

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

What is the taxonomy code for Eugene D. 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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