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NPI 1649707639 · live from the CMS NPI Registry

Ben E. Coutant, OD, PC

Optometrist in Eugene, OR. National Provider Identifier 1649707639, active.

NPI record

NPI1649707639 Type 2 · organization
StatusActive
Primary specialtyOptometrist 152W00000X
Practice location1680 Coburg Rd Ste 100, Eugene, OR 97401
Practice phone541-687-2020
Mailing address4815 Willamette St, Eugene, OR 97405
EnumeratedMay 22, 2017
Last updatedJune 16, 2018
Authorized officialBen Coutant, Owner/President

Taxonomies and licenses

TaxonomyCodeLicense
Optometrist primary152W00000X2867ATI (OR)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.