Provider Demographics
NPI:1578052221
Name:POZNIC, BENJAMIN (OD)
Entity Type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:
Last Name:POZNIC
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:BEN
Other - Middle Name:
Other - Last Name:POZNIC
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:257 BROADWAY ST APT 404
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-2726
Mailing Address - Country:US
Mailing Address - Phone:217-722-3735
Mailing Address - Fax:
Practice Address - Street 1:10001 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229-2050
Practice Address - Country:US
Practice Address - Phone:303-451-8075
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-08
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2118152W00000X
NC2559152W00000X
COOPT.0003408152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist