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Contact Information

BENJAMIN D COLSTON, OD
3150 EAST BROAD STREET
SUITE 120
MANSFIELD, TX76063
 Phone: 817-477-6363
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Corneal and Contact Management

152WC0802X 41 Optometry
Indicates primary specialty

NPI Profile & details for BENJAMIN D COLSTON · (Male)

NPI # 1083135404
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 07/06/2017
Last updated 04/26/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 9224T
  • TX License # 9224TG
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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