Stephen Bencho

NPI #1194994301 in Jefferson City, Tennessee

Provider Information

NPI Number: 1194994301
Entity Type: Organization
Organization Name: Stephen Bencho
Primary Specialty: Optometrist
Enumeration Date: Feb 22, 2008
Last Updated: Mar 28, 2008

Practice Location

Address: 124 W OLD ANDREW JOHNSON HWY
City: Jefferson City
State: Tennessee
ZIP Code: 37760-1945
Phone: (865) 475-2657

Authorized Official

Name: DR. STEPHEN BENCHO SR., OD
Title: OWNER
Phone: (865) 475-2657

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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