Individual
DR. BENNETT DAVID MCALLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
795 E 2ND ST, SUITE 2, POMONA, CA 91766-2007
(909) 706-3899
(909) 469-8640
Mailing address
795 E 2ND ST, SUITE 2, POMONA, CA 91766-2007
(909) 469-8773
(909) 469-5228
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7275T
CA
152WL0500X
Low Vision Rehabilitation Optometrist
OPT7275TPG
CA
152WP0200X
Pediatric Optometrist
OPT7275TPG
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DL049Z
MEDICARE PTAN
CA
Enumeration date
07/01/2006
Last updated
10/25/2016
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