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Contact Information

MONIQUE N BENNETT FASBENDER, OD
251 2ND ST
REEDSBURG, WI53959-1610
 Phone: 608-524-4334
 Fax: 608-524-4335
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Corneal and Contact Management

152WC0802X 41 Optometry
Indicates primary specialty

NPI Profile & details for MONIQUE N BENNETT FASBENDER · (Female)

NPI # 1962808295
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 11/13/2014
Last updated 08/27/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 8606T
  • WI License # 3667-35
  • TX Other 8606T TEXAS OPTOMETRIC LICENSE
  • WI Other 3667-35 WISCONSIN OPTOMETRIC LICENSE
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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