DR. Brian D Henson, O.D.

NPI #1184782112 in Pontiac, Illinois

Provider Information

NPI Number: 1184782112
Entity Type: Individual
Name: DR. Brian D Henson, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Dec 4, 2006
Last Updated: Jan 7, 2014

Practice Location

Address: 1712 W REYNOLDS ST
City: Pontiac
State: Illinois
ZIP Code: 61764-9695
Phone: (815) 419-2019

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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