Provider Demographics
NPI:1447412259
Name:PAUL A. BENZING O.D. INC.
Entity Type:Organization
Organization Name:PAUL A. BENZING O.D. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:BENZING
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:513-831-2931
Mailing Address - Street 1:932 STATE ROUTE 28
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45150-1900
Mailing Address - Country:US
Mailing Address - Phone:513-831-2931
Mailing Address - Fax:513-831-2985
Practice Address - Street 1:932 STATE ROUTE 28
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:OH
Practice Address - Zip Code:45150-1900
Practice Address - Country:US
Practice Address - Phone:513-831-2931
Practice Address - Fax:513-831-2985
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-02
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHT47380Medicare UPIN