Provider Demographics
NPI:1346437886
Name:ROBERT L. BENTZ II DO
Entity Type:Organization
Organization Name:ROBERT L. BENTZ II DO
Other - Org Name:BENTZ EYE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPHTHALMOLOGY
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:BENTZ
Authorized Official - Suffix:II
Authorized Official - Credentials:DO
Authorized Official - Phone:561-689-5500
Mailing Address - Street 1:4820 OKEECHOBEE BLVD
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33417-4628
Mailing Address - Country:US
Mailing Address - Phone:561-689-5500
Mailing Address - Fax:561-689-5504
Practice Address - Street 1:4820 OKEECHOBEE BLVD
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33417-4628
Practice Address - Country:US
Practice Address - Phone:561-689-5500
Practice Address - Fax:561-689-5504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-28
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK3127Medicare PIN