Individual
DR. ANSU MARIAM BENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3802 JOE RAMSEY BLVD E, GREENVILLE, TX 75401-7711
(903) 454-0471
(903) 450-4332
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10495
TX
152W00000X
Optometrist
OEG003815
PA
Other
Enumeration date
09/14/2021
Last updated
04/01/2022
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