Individual
DR. ROBIN D BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
486 W BANKHEAD ST, NEW ALBANY, MS 38652-3319
(662) 534-0101
(662) 534-8005
Mailing address
486 W BANKHEAD ST, NEW ALBANY, MS 38652-3319
(662) 534-0101
(662) 534-8005
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MS586
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00880083
—
MS
Enumeration date
09/23/2006
Last updated
07/08/2007
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