Benedict, Cody Michael

Benedict, Cody Michael is an individual health care provider with primary practice located at 110 Evergreen Sq Sw , Pine City MN 55063-2000. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Benedict, Cody Michael can be contacted via phone (320) 629-7262.

Contact Information

Primary practice address
110 Evergreen Sq Sw Pine City MN 55063-2000
Phone: (320) 629-7262
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3756 Minnesota
Eye and Vision Services Providers / Optometrist 152W00000X 3652-35 Wisconsin

Profile Details

NPI number 1376146373
LBN Legal business name Benedict, Cody Michael
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2020
Last updated Feb 25th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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