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Dr Bennett LLC

NPI 1164046967ActiveOrganization· Optometrist· Fort Wayne, IN

Optometrist in Fort Wayne, Indiana, registered in NPPES in June 2020, part of Dr Bennett LLC. The authorized official on file is Lance Bennett, OD, Optometrist.

Overview

NPI1164046967
StatusActive
Entity typeOrganization (subpart)
Parent organizationDr Bennett LLC
NPI issuedJun 8, 2020
Last updated in NPPESJun 17, 2020
Certified by providerJun 17, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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