Bennett, Mark Daniel
Bennett, Mark Daniel is an individual health care provider with primary practice located at 13530 Northgate Estates Dr Ste 200 , Colorado Springs CO 80921-7651. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Bennett, Mark Daniel can be contacted via phone (719) 593-2333.Contact Information
Primary practice address
13530 Northgate Estates Dr Ste 200
Colorado Springs CO 80921-7651
Phone: (719) 593-2333
Fax: (719) 593-0012
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1343 | Colorado |
Profile Details
| NPI number | 1861467599 |
|---|---|
| LBN Legal business name | Bennett, Mark Daniel |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2006 |
| Last updated | Jul 1st, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861467599 | NPPES |
| Colorado | MEDICAID | 08134397 |
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