Stephen Bencho

LBN: Stephen Bencho
Stephen Bencho is an health care organization with primary practice located at 124 W Old Andrew Johnson Hwy , Jefferson City TN 37760-1945. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Stephen Bencho can be contacted via phone (865) 475-2657, or through Bencho, Stephen via phone (865) 475-2657.

Contact Information

Primary practice address
124 W Old Andrew Johnson Hwy Jefferson City TN 37760-1945
Phone: (865) 475-2657
Fax: (865) 475-2657
Website:
Map and Directions
Authorized official contact:
Name: Bencho, Stephen Doctor of Optometry (OD)
Phone: (865) 475-2657

Health care specialties

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

Profile Details

NPI number 1194994301
LBN Legal business name Stephen Bencho
DBA Doing business as
Authorized official Bencho, Stephen Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2008
Last updated Mar 28th, 2008 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194994301 NPPES
Tennessee Other 0656630001 PTAN
Tennessee MEDICAID 3518221 PTAN

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