Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACKSON ROMAINE BENNETT JR., O.D.
Active Sole ProprietorDR. JACKSON ROMAINE BENNETT JR., O.D. is a Optometrist healthcare provider located in PEORIA, Illinois. NPI 1316098791 is currently active in the NPPES registry. Verify at CMS.
Optometrist · PEORIA, IL
Registration Details
- NPI Number
- 1316098791
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 14, 2007 (19.61756497225 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
4530 N BRANDYWINE DREYEGLASS WORLD 12PEORIA, IL, 616145570Browse IL providers · Browse ZIP 61614
- Phone
- 3096825833
- Fax
- 3096825929
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in PEORIA, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. TINA RENEE THOMAS | OD | 1285633693 |
| DR. JOHN PHILLIP GYSIN | O.D. | 1598757304 |
| DR. JEFFREY R HENLINE | OD | 1275526790 |
| DR. CHRISTOPHER JAMES WETZLER | O.D. | 1346235124 |
| DR. ROBIN LYNN WILSON | O.D. | 1912993544 |
| DR. DONALD L BUEHLER | O.D. | 1083601637 |
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.