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Individual

DR. BENJAMIN C FISHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
200 ACADEMY DR, RIPLEY, WV 25271-1157
(304) 373-1256
Mailing address
200 ACADEMY DR, RIPLEY, WV 25271-1157
(304) 373-1256

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1043-OD
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
WV10020281
MEDICARE PTAN
Enumeration date
08/15/2007
Last updated
01/23/2013
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