| Dr Mark Allen Benson, OD | |
|
800 6th Ave, De Witt, IA 52742-1329 | |
| (563) 659-3999 | |
| (563) 659-2966 |
| Full Name | Dr Mark Allen Benson |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 800 6th Ave, De Witt, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871596452 | NPI | - | NPPES |
| 2101030 | Medicaid | IA | |
| 55696 | Other | IA | WELLMAR BCBS |
| 2062018 | Other | FIRST HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 02006 (Iowa) | Primary |
| Provider Name | Eyewear Gallery |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1588029938 PECOS PAC ID: 0042513848 Enrollment ID: O20160128002098 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark Allen Benson, OD 800 6th Ave, De Witt, IA 52742-1329 Ph: (563) 659-3999 | Dr Mark Allen Benson, OD 800 6th Ave, De Witt, IA 52742-1329 Ph: (563) 659-3999 |
Dr. Mervin R Hassebrock, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1107 9th Ave, De Witt, IA 52742 Phone: 563-659-8141 Fax: 563-659-2121 | |
Dr. Scott C Palmer, DO Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1107 9th Ave, De Witt, IA 52742 Phone: 563-659-8141 Fax: 563-659-2121 | |
Eyewear Gallery Optometrist Medicare: Medicare Enrolled Practice Location: 1107 9th Ave, De Witt, IA 52742 Phone: 563-659-2020 Fax: 563-659-2121 | |
Vision Center Of Dewitt P C Optometrist Medicare: Not Enrolled in Medicare Practice Location: 800 6th Ave, De Witt, IA 52742 Phone: 563-659-3999 Fax: 563-659-2966 | |
Dr. Jacob M. Hayward, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1107 9th Ave, De Witt, IA 52742 Phone: 563-659-2020 Fax: 563-659-2121 |