Konynenbelt, Benjamin John
Konynenbelt, Benjamin John is an individual health care provider with primary practice located at 2551 Drew St , Clearwater FL 33765-2839. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Konynenbelt, Benjamin John can be contacted via phone (727) 791-1214.Contact Information
Primary practice address
2551 Drew St
Clearwater FL 33765-2839
Phone: (727) 791-1214
Fax: (844) 766-9698
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 3237 | Tennessee |
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC5272 | Florida |
Profile Details
| NPI number | 1114300472 |
|---|---|
| LBN Legal business name | Konynenbelt, Benjamin John |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2015 |
| Last updated | Jul 21st, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114300472 | NPPES |
| Florida | MEDICAID | 019087700 |
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