National Provider Identifier Database

BENSON VISION SOURCE INC
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

BENSON VISION SOURCE, INC.
25022 104TH AVE SE STE D
KENT, WA98030-2822
Phone: 253-859-1911
Fax: 253-859-5084
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for BENSON VISION SOURCE, INC.

NPI Number 1679601512
Legal business name
LBN
BENSON VISION SOURCE, INC.
Authorized official THOMAS MITCHELL - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 03/01/2007
Last updated 11/26/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • WA License #: OD00003501
  • WA Medicaid: 2026748

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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