Jeffery L. Dibenedetto
Optometrist Sports Vision Optomitrist - Corneal and Contact Lenses
2290 S Range Ave
Denham Springs
, Louisiana 70726-5214
Jeffery L. Dibenedetto
Optometrist Sports Vision Optomitrist - Corneal and Contact Lenses
2290 S Range Ave
Denham Springs
, Louisiana 70726-5214
(225) 665-2089
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About
Features
Specialties
- Optometrist
- Optomitrist - Corneal and Contact Lenses
- Sports Vision
Languages spoken
- English
Location
First Address
- Jeffery L. Dibenedetto
- 2290 S Range Ave
- Denham Springs, LA
- Zip : 70726-5214
- Fax : (225) 665-2089
- Phone : (225) 665-2019
Second Address
- Jeffery L. Dibenedetto
- 2290 S Range Ave
- Denham Springs, LA
- Zip : 70726-5214
- Fax : (225) 665-2089
- Phone : (225) 665-2019
Reviews
FAQs
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Is Jeffery L. Dibenedetto a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1321-456T | LA |
| N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 1321-456T | LA |
| N | 152WS0006X | Sports Vision | 1321-456T | LA |
National Provider Identifier
| NPI | 1255360525 |
|---|---|
| Provider Name | Jeffery L. Dibenedetto |
| First Address | Denham Springs, LA 70726-5214 |
| Second Address | Denham Springs, LA 70726-5214 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/06/2006 |
| Last Update Date | 27/01/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1105350 | (05) | LA |
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.