| NPI | 1740558642 |
|---|---|
| Doing Business As | BENSON EYE CLINIC |
| Entity Type | Organization |
| Authorized Contact | KURT J HOFELDT President 636-359-2159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA OD60102590) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: WA OD60102590) |
| Enumeration Date | 2011-12-06 |
| Last Update Date | 2011-12-06 |