Benson Vision Source, Inc.

NPI #1679601512 in Kent, Washington

Provider Information

NPI Number: 1679601512
Entity Type: Organization
Organization Name: Benson Vision Source, Inc.
Primary Specialty: Optometrist
Enumeration Date: Mar 1, 2007
Last Updated: Nov 26, 2012

Practice Location

Address: 25022 104TH AVE SE STE D
City: Kent
State: Washington
ZIP Code: 98030-2822
Phone: (253) 859-1911

Authorized Official

Name: DR. THOMAS L MITCHELL, O.D.
Title: PRESIDENT
Phone: (253) 859-1911

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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