National Provider Identifier Database

JEFFERY L DIBENEDETTO, OD – NPI #1255360525
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

JEFFERY L DIBENEDETTO, OD
2290 S RANGE AVE
DENHAM SPRINGS, LA70726-5214
Phone: 225-665-2019
Fax: 225-665-2089
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X
Corneal and Contact Management 152WC0802X
Sports Vision 152WS0006X

* Indicates primary specialty

NPI Profile & details for JEFFERY L DIBENEDETTO

NPI Number 1255360525
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 06/30/2006
Last updated 01/27/2012 - About 14 years ago
Sole proprietor1 No
Identifiers
  • LA License #: 1321-456T
  • LA Medicaid: 1105350
Hospital affiliation n/a

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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