Organization
STEVEN P. BENNETT, OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA J PINNEY (INSURANCE BILLING)
(260) 724-2517
Entity
Organization
Contact information
Practice address
1401 N 13TH ST, DECATUR, IN 46733-3139
(260) 724-2517
(260) 724-7009
Mailing address
PO BOX 512, DECATUR, IN 46733-0512
(260) 724-2517
(260) 724-7009
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100053170A
—
IN
Enumeration date
06/30/2020
Last updated
06/30/2020
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