Benjamin Dean Brenner
Optometrist
3810 S Highway 27 Suite 1
Somerset
, Kentucky 42501-3073
Benjamin Dean Brenner
Optometrist
3810 S Highway 27 Suite 1
Somerset
, Kentucky 42501-3073
(606) 387-6602
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Benjamin Dean Brenner
- 127 Foothills Ave Suite 3
- Albany, KY
- Zip : 42602-1090
- Fax : (606) 387-6602
- Phone : (606) 387-5612
Second Address
- Benjamin Dean Brenner
- 3810 S Highway 27 Suite 1
- Somerset, KY
- Zip : 42501-3073
- Fax : (606) 678-0972
- Phone : (606) 678-4551
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1837DT | KY |
| N | 152W00000X | Optometrist | 2982 | TN |
National Provider Identifier
| NPI | 1013205871 |
|---|---|
| Provider Name | Benjamin Dean Brenner |
| First Address | Albany, KY 42602-1090 |
| Second Address | Somerset, KY 42501-3073 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/07/2011 |
| Last Update Date | 08/02/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0966 | GROUP MEDICARE PIN PTAN FOR ALBANY (01) | KY |
| 103I419540 | MEDICARE PTAN (01) | TN |
| 2416 | GROUP MEDICARE PIN PTAN FOR SOMERSET (01) | KY |
| 7100184290 | (05) | KY |
| 8351 | GROUP MEDICARE PIN PTAN FOR WILLIAMSBURG (01) | KY |
| 8809 | GROUP MEDICARE PIN PTAN FOR WHITLEY (01) | KY |
| MB2428642 | DEA (01) | KY |
| MB2494766 | DEA (01) | TN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.