Doctor Name: | DAMARIS BENITEZ |
NPI Number: | 1275947772 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | O.D. |
License Number: | 046.010782 |
Business Practice Address: | 320 Chicago Ridge Mall Chicago Ridge, IL - 604152602 |
Business Phone Number: | 7862535922 |
Business Fax Number: | |
Mailing Address: | 320 Chicago Ridge Mall, CHICAGO RIDGE |
State: | IL |
Postal Code: | 604152602 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/12/2014 |
NPI Last Update Date: | 06/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WL0500X |
License Number: | 046.010782 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Low Vision Rehabilitation |
Taxonomy Definition: | Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. |