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Contact Information

MICHAEL E BENNETT, OD
110 E HARRISON AVE
GUTHRIE, OK73044-4839
 Phone: 405-282-4396
 Fax: 405-282-8298
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for MICHAEL E BENNETT · (Male)

NPI # 1558473868
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 08/31/2006
Last updated 10/13/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 1099
  • OK Medicaid 100766560A
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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