Organization
BENEFIELD EYE CARE, PC
Active
Other names
Benefield Eye Care Optical Shop
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD W BENEFIELD MD (PRESIDENT)
(228) 328-0972
Entity
Organization
Contact information
Practice address
11240 HIGHWAY 49 STE 300, GULFPORT, MS 39503-4151
(228) 328-0972
Mailing address
11240 HIGHWAY 49 STE 300, GULFPORT, MS 39503-4151
(228) 328-0972
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
012410
MS
Other
Enumeration date
03/07/2007
Last updated
08/22/2020
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