Whalio Doctors

NPI 1013904028

Bennett Optometry LLC

Organisation Optometrist Ann Arbor, MI

Practice location

Address
2623 Plymouth Rd, Ann Arbor, MI 48105-2468
Phone
(636) 200-4393
Fax
(734) 930-2390
Mailing address
117 S Main St STE 200, Ann Arbor, MI 48104-1902

Authorised official

Name
James J. Wachter
Title
President/Owner
Phone
(636) 200-4393

Registered specialties (8)

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence BME-0160973 (MI)
Optometrist
Eye and Vision Services Providers Taxonomy 152W00000X
Corneal and Contact Management Optometrist
Eye and Vision Services Providers Taxonomy 152WC0802X
Low Vision Rehabilitation Optometrist
Eye and Vision Services Providers Taxonomy 152WL0500X
Pediatric Optometrist
Eye and Vision Services Providers Taxonomy 152WP0200X
Sports Vision Optometrist
Eye and Vision Services Providers Taxonomy 152WS0006X
Vision Therapy Optometrist
Eye and Vision Services Providers Taxonomy 152WV0400X
Occupational Vision Optometrist
Eye and Vision Services Providers Taxonomy 152WX0102X

Registry record

NPI
1013904028
Entity type
Organization
NPI issued
4 Oct 2005
Record last updated
15 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.