Organization
LINDA BENNETT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA BENNETT OD (OWNER)
(617) 484-1414
Entity
Organization
Contact information
Practice address
231 BELMONT ST, BELMONT, MA 02478-3607
(617) 484-1414
Mailing address
231 BELMONT ST, BELMONT, MA 02478-3607
(617) 484-1414
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W15915
BLUE CROSS BLUE SHIELD
MA
Enumeration date
02/13/2007
Last updated
08/20/2008
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