Dr. Jackson Romaine Bennett Jr. is a Peoria, Illinois based male Optometrist who is specialized in Optometry. Active license number of Dr. Jackson Romaine Bennett Jr. isfor Optometry in Illinois. Dr. Jackson Romaine Bennett Jr. examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Jackson Romaine Bennett Jr. speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Gender:
Male
Practice Address:
4530 N Brandywine Dr, Eyeglass World 12, Peoria, Illinois, 61614-5570
Phone:
309-682-5833
Fax:
309-682-5929
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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).
NPI details are as mentioned below.
NPI Number:
1316098791
NPI Enumeration Date:
14 Jan, 2007
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jackson Romaine Bennett Jr. are as mentioned below.
License Number
Specialization
State
Status
Optometry
Illinois
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Jackson Romaine Bennett Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0040030668
Other
Illinois
BCBS PROVIDER #
0040030676
Other
Illinois
BCBS PROVIDER #
0040030672
Other
Illinois
BCBS PROVIDER #
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
4530 N Brandywine Dr, Eyeglass World 12 Peoria, Illinois
Zip:
61614-5570
Phone Number:
309-682-5833
Fax Number:
309-682-5929
Patients can reach Dr. Jackson Romaine Bennett Jr. at 4530 N Brandywine Dr, Eyeglass World 12, Peoria, Illinois or can call to book an appointment on 309-682-5833. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
Comments/ Reviews:
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