Individual
SCOTT W BENNION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
23714 222ND PL SE STE B, MAPLE VALLEY, WA 98038
(425) 432-1206
(425) 413-4465
Mailing address
23714 222ND PL SE STE B, MAPLE VALLEY, WA 98038-5800
(425) 432-1206
(425) 413-4465
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
WA1115TX
WA
152WC0802X
Corneal and Contact Management Optometrist
WA1115TX
WA
152WV0400X
Vision Therapy Optometrist
WA1115TX
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2032076
—
WA
Enumeration date
02/03/2006
Last updated
07/31/2018
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