Organization
MICHAEL J BENNETT
Active
Other names
Lifetime Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL BENNETT OD (OWNER)
(907) 789-3175
Entity
Organization
Contact information
Practice address
9309 GLACIER HWY STE A103, JUNEAU, AK 99801-9300
(907) 789-3175
(907) 789-1778
Mailing address
9309 GLACIER HWY STE A103, JUNEAU, AK 99801-9300
(907) 789-3175
(907) 789-1778
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
273325
AK
Other
Enumeration date
08/17/2007
Last updated
09/29/2008
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