Provider Demographics
NPI:1144327131
Name:BENAIM EYE LLC
Entity type:Organization
Organization Name:BENAIM EYE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NATASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEORAJ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-747-7777
Mailing Address - Street 1:1015 W INDIANTOWN RD STE A201
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-6839
Mailing Address - Country:US
Mailing Address - Phone:561-747-7777
Mailing Address - Fax:561-575-1921
Practice Address - Street 1:1015 W INDIANTOWN RD STE A201
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-6839
Practice Address - Country:US
Practice Address - Phone:561-747-7777
Practice Address - Fax:561-575-1921
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty