Organization
BENNETT OPTOMETRY LLC
Active
Other names
Bennett Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES J. WACHTER O.D. (PRESIDENT/OWNER)
(636) 200-4393
Entity
Organization
Contact information
Practice address
117 S MAIN ST, ANN ARBOR, MI 48104-1902
(636) 200-4393
(734) 665-5522
Mailing address
117 S. MAIN ST., ANN ARBOR, MI 48104
(734) 665-5306
(734) 930-2383
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
BME-0160973
MI
152W00000X
Optometrist
—
—
152WC0802X
Corneal and Contact Management Optometrist
—
—
152WL0500X
Low Vision Rehabilitation Optometrist
—
—
152WP0200X
Pediatric Optometrist
—
—
152WS0006X
Sports Vision Optometrist
—
—
152WV0400X
Vision Therapy Optometrist
—
—
152WX0102X
Occupational Vision Optometrist
—
—
Other
Enumeration date
10/03/2005
Last updated
09/13/2019
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