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Organization

BENNETT OPTOMETRY LLC

Active
Parent organization
BENNETT OPTOMETRY LLC
Other names
Clarkson Eyecare
Organization subpart
Yes

Provider details

NPI number
Legal business name
BENNETT OPTOMETRY LLC
Authorized official
JAMES J WACHTER OD (AUTHORIZED OFFICIAL)
(636) 200-4393
Entity
Organization

Contact information

Practice address
22 N TELEGRAPH RD, PONTIAC, MI 48341-1166
(248) 332-2895
Mailing address
PO BOX 208177, DALLAS, TX 75320-8177
(636) 200-4393
(636) 527-0766

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Enumeration date
11/04/2019
Last updated
11/04/2019
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