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Contact Information

MICHAEL A BENETATOS, OD
1069 RINGWOOD AVE STE 106
HASKELL, NJ07420-1451
 Phone: 862-200-5454
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for MICHAEL A BENETATOS · (Male)

NPI Number 1013085521
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 12/01/2006
Last updated 12/16/2013 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 27OA00509800
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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