NPI 1891197455

Edward Benks

Practitioner Optician Fort Collins, CO

Practice location

Address: 2929 Ross Dr S73, Fort Collins, CO 80526-6639
Phone: (970) 624-9019
Mailing address: PO Box 1411, Laporte, CO 80535-1411

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X

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Registry record

NPI: 1891197455
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Sep 2014
Record last updated: 25 Sep 2014

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.