Individual
VANESSA ERIN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2000 S WHEELING AVE, STE 1010, TULSA, OK 74104-5649
(918) 747-3937
(918) 748-8707
Mailing address
2000 S WHEELING AVE, STE 1010, TULSA, OK 74104-5649
(918) 584-4433
(918) 748-8707
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2764
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2764
LICENSE
OK
Enumeration date
07/24/2013
Last updated
06/05/2014
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