Individual
DR. BENJAMIN A. HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
312 N 12TH ST, MURRAY, KY 42071-1916
(270) 767-9300
(270) 761-4706
Mailing address
PO BOX 1531, MURRAY, KY 42071-0027
(270) 767-9300
(270) 761-4706
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
KY1261DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6706600001
MEDICARE DME PTAN
KY
01
—
P01204985
RAILROAD MEDICARE PTAN
KY
Enumeration date
10/09/2006
Last updated
09/09/2016
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