Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL A. BENETATOS, O.D.
Active Sole ProprietorDR. MICHAEL A. BENETATOS, O.D. is a Optometrist healthcare provider located in HASKELL, New Jersey. NPI 1013085521 is currently active in the NPPES registry. Verify at CMS.
Optometrist · HASKELL, NJ
Registration Details
- NPI Number
- 1013085521
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 1, 2006 (19.517214629859 yrs)
- Last Updated
- Dec 16, 2013
- License
-
27OA00509800 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1069 RINGWOOD AVE STE 106HASKELL, NJ, 074201451Browse NJ providers · Browse ZIP 07420
- Phone
- 8622005454
- Primary Specialty
-
Optometrist
152W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.