Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CODY MICHAEL BENEDICT, O.D
ActiveMR. CODY MICHAEL BENEDICT, O.D is a Optometrist healthcare provider located in PINE CITY, Minnesota. NPI 1376146373 is currently active in the NPPES registry. Verify at CMS.
Optometrist · PINE CITY, MN
Registration Details
- NPI Number
- 1376146373
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 20, 2020 (5.5533836249132 yrs)
- Last Updated
- Feb 25, 2022
- Licenses
-
3756 (MN)3652-35 (WI)
Practice Information
- Address
-
110 EVERGREEN SQ SWPINE CITY, MN, 550632000Browse MN providers · Browse ZIP 55063
- Phone
- 3206297262
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Optometrist
Other Optometrist Providers in PINE CITY, MN
| Name | Credential | NPI |
|---|---|---|
| DR. CALLI TOLER | OD | 1164007670 |
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.