Active NPIIndividual provider

Amanda Benjamin

Technician/Technologist, Optician in Montclair, New Jersey

NPI Number1720436884
Practice location
11 Seymour St Apt 15, Montclair, NJ 07042-3332
Fax
—
Last updated
May 31, 2016

Amanda Benjamin is a Technician/Technologist, Optician based in Montclair, NJ. Amanda Benjamin practices in Montclair, NJ. The NPI Number for Amanda Benjamin is 1720436884 and holds a License No. 31TD00383400 (NJ). The current practice location address for Amanda Benjamin is 11 Seymour St Apt 15, Montclair, NJ 07042-3332 and can be reached out via phone at 862-218-7415.

Provider Profile Details

NPI Number
1720436884
Provider Name
Amanda Benjamin
Provider Entity Type
Individual
Gender
Female
Address
11 Seymour St Apt 15, Montclair, NJ 07042-3332
Phone Number
862-218-7415
Primary Taxonomy
Technician/Technologist, Optician · 156FX1800X
Sole Proprietor
No
Provider Enumeration Date
May 31, 2016
Last Update Date
May 31, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 Seymour St Apt 15
Montclair, NJ 07042-3332
Zip
07042-3332
Phone Number
862-218-7415
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
11 Seymour St Apt 15
Montclair, NJ 07042-3332
City
Montclair
State
NJ
Zip
07042-3332
Phone Number
862-218-7415

License Information

License Number
31TD00383400
License State
NJ
Taxonomy
Technician/Technologist, Optician · 156FX1800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Amanda Benjamin?

The NPI number of Amanda Benjamin is 1720436884. It was assigned on May 31, 2016 and is currently active in the NPPES registry.

What is the specialty of Amanda Benjamin?

Amanda Benjamin is registered under the primary taxonomy Technician/Technologist, Optician (code 156FX1800X), licensed in NJ under license number 31TD00383400.

Where does Amanda Benjamin practice?

The practice location is 11 Seymour St Apt 15, Montclair, NJ 07042-3332. The office can be reached at 862-218-7415 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720436884 directly on the NPPES registry website.

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