IndividualActive
Mark Benjamin, OPTOMETRIST OD DEGRE
NPI 1669599403 · Vision Therapy Optometrist · Merrillville, IN
Provider details
- NPI number
- 1669599403
- Entity type
- Individual
- Primary specialty
- Vision Therapy OptometristEye and Vision Services Providers
- Credential
- OPTOMETRIST OD DEGRE
- Sex
- Male
- Sole proprietor
- No
- License
- 18002462A (IN)
Practice location
759 East 81st Avenue
Merrillville, IN 46410
Phone: (219) 736-0013
Fax: (219) 769-8842
Mailing address
823 West 89th Place
Merrillville, IN 46410
Registry dates
- Enumerated
- 2007-03-26
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.