DR. Eugene Bennett, OD

NPI #1679627301 in Tyler, Texas

Provider Information

NPI Number: 1679627301
Entity Type: Individual
Name: DR. Eugene Bennett, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jan 22, 2007
Last Updated: Jul 9, 2007

Practice Location

Address: 4824 S BROADWAY AVE
City: Tyler
State: Texas
ZIP Code: 75703-1312
Phone: (903) 581-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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