Organization
SPECTRUM EYE CARE, PC
Active
Other names
Spectrum Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK DANIEL BENNETT OD (OWNER)
(719) 593-2333
Entity
Organization
Contact information
Practice address
13530 NORTHGATE ESTATES DR STE 200, COLORADO SPRINGS, CO 80921-7651
(719) 593-2333
(719) 593-0012
Mailing address
1839 BRIARGATE BLVD, COLORADO SPRINGS, CO 80920-3470
(719) 593-2333
(719) 593-0012
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89707851
—
CO
Enumeration date
06/10/2008
Last updated
07/08/2021
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