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DR. NARVAN BENNETT O.D.
>> Optometrist >> Eye and Vision Services ProvidersRegistrant NPI Number: 1558702589
Individual Registrant:DR. NARVAN BENNETT O.D.
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
6515 MAIN ST TRUMBULL, CT 06611-1354 US
Tel: 203-374-2020 Fax: --
Tel: 203-374-2020 Fax: --
Contact information for business:
185 CANAL ST # A1059 SHELTON, CT 06484-8121 US
Tel: 203-243-7656 Fax: --
Tel: 203-243-7656 Fax: --
Registration Information:
NPI: 1558702589
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 152W00000X | Eye and Vision Services Providers Optometrist | CT | 2890 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
