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Contact Information

MICHAEL J BENYO, OD
1 GUTHRIE SQ
SAYRE, PA18840-1625
 Phone: 570-888-5858
 Fax: 570-887-3236
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for MICHAEL J BENYO · (Male)

NPI # 1407825490
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 03/14/2006
Last updated 03/05/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NY License # TUV004754-1
  • PA License # OEG000948
  • NY Medicaid 01054920
  • PA Medicaid 0011014560001
  • NY Other CC8362 RR MEDICARE GROUP
  • NY Other P00324442 RR MEDICARE PIN
  • PA Other GU039785 MEDICARE GROUP
  • PA Other CC9269 RR MEDICARE GROUP
  • PA Other 410043463 RR MEDICARE PIN
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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