Dr. Benjamin Dean Colston
Optometrist Optomitrist - Corneal and Contact Lenses
3150 East Broad Street Suite 120
Mansfield
, Texas 76063
Dr. Benjamin Dean Colston
Optometrist Optomitrist - Corneal and Contact Lenses
3150 East Broad Street Suite 120
Mansfield
, Texas 76063
(817) 477-6363
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About
Features
Specialties
- Optometrist
- Optomitrist - Corneal and Contact Lenses
Languages spoken
- English
Location
First Address
- Dr. Benjamin Dean Colston
- 3150 East Broad Street Suite 120
- Mansfield, TX
- Zip : 76063
- Phone : (817) 477-6363
Second Address
- Dr. Benjamin Dean Colston
- 3150 East Broad Street Suite 120
- Mansfield, TX
- Zip : 76063
- Phone : (817) 477-6363
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 152W00000X | Optometrist | 9224T | TX |
| Y | 152W00000X | Optometrist | 9224TG | TX |
| N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 9224T | TX |
National Provider Identifier
| NPI | 1083135404 |
|---|---|
| Provider Name | Dr. Benjamin Dean Colston |
| First Address | Mansfield, TX 76063 |
| Second Address | Mansfield, TX 76063 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/07/2017 |
| Last Update Date | 26/04/2019 |
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.