Individual
MARK PAUL BENJAMIN
Active
Individual
MARK PAUL BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTOMETRIST OD DEGRE
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
18002462A
IN
152WV0400X
Vision Therapy Optometrist
Primary
18002462B
IN
Other
Enumeration date
03/26/2007
Last updated
09/11/2025
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