Tim A Bengtson, O.D.

NPI #1891989919 in Macomb, Illinois

Provider Information

NPI Number: 1891989919
Entity Type: Individual
Name: Tim A Bengtson, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Aug 31, 2007
Last Updated: May 8, 2008

Practice Location

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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