Organization
BENGOA EYE CARE LTD
Active
Other names
BENGOA EYE CARE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CODY S. BENGOA O.D. (MANAGING MEMBER)
(775) 625-3937
Entity
Organization
Contact information
Practice address
1050 HANSON ST, WINNEMUCCA, NV 89445-2774
(775) 625-3937
(775) 625-3938
Mailing address
1050 HANSON ST, WINNEMUCCA, NV 89445-2774
(775) 625-3937
(775) 625-3938
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
497
NV
Other
Enumeration date
10/07/2012
Last updated
01/25/2019
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