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Individual

MARK PAUL BENJAMIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OPTOMETRIST OD DEGRE

Contact information

Practice address
759 EAST 81ST AVENUE, MERRILLVILLE, IN 46410
(219) 736-0013
(219) 769-8842
Mailing address
823 WEST 89TH PLACE, MERRILLVILLE, IN 46410
(219) 795-1356

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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