Individual
MR. JOSEPH L BENTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1051 SCOTTSVILLE ROAD, LAFAYETTE, TN 37083
(615) 666-6613
(615) 666-8179
Mailing address
PO BOX 296, LAFAYETTE, TN 37083
(615) 666-6613
(615) 666-8179
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
5541646
TN
152W00000X
Optometrist
Primary
TOD1237
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1452031
—
TN
Enumeration date
05/27/2006
Last updated
06/02/2008
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