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Contact Information

ERIC P BENNICOFF
208 MAIN ST
STROUDSBURG, PA18360-2575
 Phone: 570-476-1114
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for ERIC P BENNICOFF · (Male)

NPI Number 1396185757
Status Active
Credentials
Entity Individual
Enumeration date 07/01/2013
Last updated 07/01/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • PA License # OEG002823
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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