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Active NPI 1922273754 Organization (Entity Type 2)

Eugene D. Bennett

Optometrist • Tyler, TX

About Eugene D. Bennett NPI 1922273754 Summary

Eugene D. Bennett is a verified healthcare organization specializing in Optometrist operating in Tyler, TX. Located at 4824 S BROADWAY AVE, this facility provides patient care and medical services under National Provider Identifier (NPI) 1922273754.

Administrative operations and authorized compliance are overseen by Eugene Bennett (Owner).

The facility is associated with 3 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

4824 S Broadway Ave

Tyler, TX 757031312

Telephone 9035812020
Fax 9035091492

Authorized Official Information

Authorized Contact Name

Eugene Bennett , OD

Title / Role

Owner

Official Telephone

9035812020

Facility Classifications & Specialties

Optometrist Primary Taxonomy

NUCC Taxonomy Code: 152W00000X

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. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

3 Linked

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
✅
NPI Profile Active January 12, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location January 12, 2010

Registered at 4824 S BROADWAY AVE, TYLER, TX 757031312 (Tel: 9035812020)

📍
Updated Business Mailing Address January 12, 2010

Registered at 4824 S BROADWAY AVE, TYLER, TX 757031312 (Tel: 9035812020)

🏛️
Organization / Clinic Name Updated January 12, 2010

Operating as EUGENE D. BENNETT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2010

Optometrist (License #1848 in TX)

🟢
Initial NPI Registration & Enumeration April 23, 2008

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1922273754
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: April 23, 2008
Last Update: January 12, 2010
Update or Correct Listing

Mailing Address

4824 S Broadway Ave

Tyler, TX 757031312

Phone: 9035812020

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.