| NPI | 1376146373 |
|---|---|
| Professional Name | CODY M BENEDICT |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MN 3756) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WI 3652-35) |
| Enumeration Date | 2020-11-20 |
| Last Update Date | 2022-02-25 |