Dr. Eugene George Benedict
Optometrist
802 E Front St Suite 2
Buchanan
, Michigan 49107-1499
Dr. Eugene George Benedict
Optometrist
802 E Front St Suite 2
Buchanan
, Michigan 49107-1499
(269) 695-2251
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Dr. Eugene George Benedict
- 802 E Front St Suite 2
- Buchanan, MI
- Zip : 49107-1499
- Fax : (269) 695-2251
- Phone : (269) 695-9011
Second Address
- Dr. Eugene George Benedict
- 802 E Front St Suite 2
- Buchanan, MI
- Zip : 49107-1499
- Fax : (269) 695-2251
- Phone : (269) 695-9011
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 152W00000X | Optometrist | 18001440A | IN |
| Y | 152W00000X | Optometrist | 4901002243 | MI |
National Provider Identifier
| NPI | 1003848433 |
|---|---|
| Provider Name | Dr. Eugene George Benedict |
| First Address | Buchanan, MI 49107-1499 |
| Second Address | Buchanan, MI 49107-1499 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/07/2006 |
| Last Update Date | 14/01/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 5014457 | (05) | MI |
| T32635 | (02) |
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.