Individual
JAMIE A. BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
401 E SILAS ST, BARTLESVILLE, OK 74003-3611
(918) 336-4068
Mailing address
401 E SILAS ST, BARTLESVILLE, OK 74003-3611
(918) 336-4068
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1189
OK
Other
Enumeration date
09/24/2007
Last updated
04/19/2012
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