Organization
COLLEGE STATION VISION CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN BENHAM OD (OWNER/OPTOMETRIST)
(432) 413-1997
Entity
Organization
Contact information
Practice address
4321 STATE HIGHWAY 6 SOUTH, COLLEGE STATION, TX 77845
(979) 321-6565
(979) 321-6566
Mailing address
4018 HERU CT, COLLEGE STATION, TX 77845-7085
(432) 413-1997
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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