Organization Name: | JOE M. BENNETT, D.O., & ASSOCIATES, P.C. |
NPI Number: | 1205052578 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOE M. BENNETT (OWNER) |
Mailing Address: | 1706 S Lafayette Ave Sedalia |
State: | MO US |
Postal Code: | 653017542 |
Phone Number: | 6608264729 |
Fax Number: | 6608266440 |
NPI Enumeration Date: | 04/17/2007 |
NPI Last Update Date: | 11/02/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | 12333671 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |