Organization
BENCAL
Active
Other names
MIRACLE EAR
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM DAVID BENSON BCHIS (CERTIFIED HEARING AID DISPENSER)
(559) 732-5905
Entity
Organization
Contact information
Practice address
4006 S DEMAREE ST, VISALIA, CA 93277-9476
(559) 732-5905
(559) 627-4378
Mailing address
4006 S DEMAREE ST, VISALIA, CA 93277-9476
(559) 732-5905
(559) 627-4378
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA4000
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HA0039580
—
CA
05
—
HA0039581
—
CA
01
—
ZZZ67406Z
BLUE SHIELD
CA
01
—
ZZZ67408Z
BLUE SHIELD
CA
01
—
ZZZ67409Z
BLUE SHIELD
CA
Enumeration date
02/15/2007
Last updated
03/15/2013
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