| NPI | 1992792154 |
|---|---|
| Doing Business As | BENNETT OPTOMETRY |
| Entity Type | Organization |
| Authorized Contact | JAMES J. WACHTER President/Owner 636-200-4393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MI BME-0160973) |
| Additional Taxonomies | 152W00000X Optometrist |
| 152WC0802X Optometrist, Corneal and Contact Management | |
| 152WL0500X Optometrist, Low Vision Rehabilitation | |
| 152WP0200X Optometrist, Pediatrics | |
| 152WS0006X Optometrist, Sports Vision | |
| 152WV0400X Optometrist, Vision Therapy | |
| 152WX0102X Optometrist, Occupational Vision | |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2019-09-13 |