Individual
DR. MARK ALLEN BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
800 6TH AVE, DE WITT, IA 52742-1329
(563) 659-3999
(563) 659-2966
Mailing address
800 6TH AVE, DE WITT, IA 52742-1329
(563) 659-3999
(563) 659-2966
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
02006
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2062018
FIRST HEALTH
—
05
—
2101030
—
IA
01
—
55696
WELLMAR BCBS
IA
Enumeration date
05/27/2005
Last updated
06/29/2010
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