Individual
DR. GEOFFREY C BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
12080 HIGHWAY 169 W, WAL MART VISION CENTER #2937, HIBBING, MN 55746-3035
(218) 262-3853
Mailing address
5076 ERICKSON RD, DULUTH, MN 55803-2732
(218) 591-5252
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2175
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
750025400
—
MN
Enumeration date
02/01/2007
Last updated
07/11/2008
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