Michael J Bennett

NPI #1053503698 in Juneau, Alaska

Provider Information

NPI Number: 1053503698
Entity Type: Organization
Organization Name: Michael J Bennett
Primary Specialty: Optometrist
Enumeration Date: Aug 17, 2007
Last Updated: Sep 29, 2008

Practice Location

Address: 9309 GLACIER HWY STE A103
City: Juneau
State: Alaska
ZIP Code: 99801-9300
Phone: (907) 789-3175

Authorized Official

Name: DR. MICHAEL BENNETT, OD
Title: OWNER
Phone: (907) 789-3175

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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