Individual
KENT JAY BENNION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1170 N MOAPA VALLEY BLVD, STE D, PO BOX 1349, OVERTON, NV 89040-1349
(702) 397-2020
(702) 397-6422
Mailing address
1170 N MOAPA VALLEY BLVD, SUITE D, BOX 1349, OVERTON, NV 89040-1349
(702) 397-2020
(702) 397-6422
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
6640313-9934
UT
152W00000X
Optometrist
Primary
935
NV
Other
Enumeration date
06/27/2007
Last updated
03/17/2018
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