Individual
DR. STEPHEN P BENKUSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
103 W EDEN ST, EDENTON, NC 27932-1843
(252) 748-2420
(252) 482-8444
Mailing address
103 W EDEN ST, EDENTON, NC 27932-1843
(252) 748-2420
(242) 482-8444
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1613
NC
Other
Enumeration date
05/19/2006
Last updated
06/03/2010
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