Benson Vision Source, Inc.

LBN: Benson Vision Source, Inc.
Benson Vision Source, Inc. is an health care organization with primary practice located at 25022 104Th Ave Se Ste D , Kent WA 98030-2822. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Benson Vision Source, Inc. can be contacted via phone (253) 859-1911, or through Mitchell, Thomas L via phone (253) 859-1911.

Contact Information

Primary practice address
25022 104Th Ave Se Ste D Kent WA 98030-2822
Phone: (253) 859-1911
Fax: (253) 859-5084
Website:
Map and Directions
Authorized official contact:
Name: Mitchell, Thomas L Doctor of Optometry (OD)
Phone: (253) 859-1911

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OD00003501 Washington

Profile Details

NPI number 1679601512
LBN Legal business name Benson Vision Source, Inc.
DBA Doing business as
Authorized official Mitchell, Thomas L Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 1st, 2007
Last updated Nov 26th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679601512 NPPES
Washington MEDICAID 2026748

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