Eugene D. Bennett

NPI #1922273754 in Tyler, Texas

Provider Information

NPI Number: 1922273754
Entity Type: Organization
Organization Name: Eugene D. Bennett
Primary Specialty: Optometrist
Enumeration Date: Apr 23, 2008
Last Updated: Jan 12, 2010

Practice Location

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

Authorized Official

Name: EUGENE D BENNETT, OD
Title: OWNER
Phone: (903) 581-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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