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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 Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Corneal and Contact Management

152WC0802X 41 Optometry
 

Sports Vision

152WS0006X 41 Optometry
Indicates primary specialty

NPI Profile & details for JEFFERY L DIBENEDETTO · (Male)

NPI # 1255360525
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 06/30/2006
Last updated 01/27/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 1321-456T
  • LA Medicaid 1105350
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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