Eugene D. Bennett

LBN: Eugene D. Bennett
Eugene D. Bennett is an health care organization with primary practice located at 4824 S Broadway Ave , Tyler TX 75703-1312. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Eugene D. Bennett can be contacted via phone (903) 581-2020, or through Bennett, Eugene D via phone (903) 581-2020.

Contact Information

Primary practice address
4824 S Broadway Ave Tyler TX 75703-1312
Phone: (903) 581-2020
Fax: (903) 509-1492
Website:
Map and Directions
Authorized official contact:
Name: Bennett, Eugene D Doctor of Optometry (OD)
Phone: (903) 581-2020

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1848 Texas

Profile Details

NPI number 1922273754
LBN Legal business name Eugene D. Bennett
DBA Doing business as
Authorized official Bennett, Eugene D Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 23rd, 2008
Last updated Jan 12th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1922273754 NPPES
Texas MEDICAID 019677601
Texas Other 82046E
Texas Other 00E60M
Texas Other 1679627301

Popular Providers