Tim a Bengtson O.d., P.c.

NPI #1285646661 in Macomb, Illinois

Provider Information

NPI Number: 1285646661
Entity Type: Organization
Organization Name: Tim a Bengtson O.d., P.c.
Primary Specialty: Optometrist
Enumeration Date: Aug 13, 2006
Last Updated: May 8, 2008

Practice Location

Address: 820 E JACKSON ST
City: Macomb
State: Illinois
ZIP Code: 61455-2412
Phone: (309) 833-4242

Authorized Official

Name: TIM BENGTSON
Title: OWNER
Phone: (309) 833-4242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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