Colston, Benjamin Dean

Colston, Benjamin Dean is an sole proprietor health care provider with primary practice located at 3150 East Broad Street Suite 120, Mansfield TX 76063. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Colston, Benjamin Dean can be contacted via phone (817) 477-6363.

Contact Information

Primary practice address
3150 East Broad Street Suite 120 Mansfield TX 76063
Phone: (817) 477-6363
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 9224T Texas
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 9224T Texas
Eye and Vision Services Providers / Optometrist 152W00000X 9224TG Texas

Profile Details

NPI number 1083135404
LBN Legal business name Colston, Benjamin Dean
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2017
Last updated Apr 26th, 2019 - about 5 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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