Provider Demographics
NPI:1184970402
Name:BENESKI, RACHEL MACHINAS (OD)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:MACHINAS
Last Name:BENESKI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:410 STATE ROUTE 10
Mailing Address - Street 2:SUITE 202
Mailing Address - City:LEDGEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07852-9658
Mailing Address - Country:US
Mailing Address - Phone:973-584-2020
Mailing Address - Fax:973-584-4992
Practice Address - Street 1:410 STATE ROUTE 10
Practice Address - Street 2:SUITE 202
Practice Address - City:LEDGEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07852-9658
Practice Address - Country:US
Practice Address - Phone:973-584-2020
Practice Address - Fax:973-584-4992
Is Sole Proprietor?:No
Enumeration Date:2012-07-24
Last Update Date:2014-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00641200152W00000X
NYTUV007865-1152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist