=====================================================
General NPI Number Information
=====================================================
NPI Number | 1386583292
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | STEPHANIE A BENOIT
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/26/2026
-----------------------------------------------------
Last Update Date | 03/26/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 12559A BISCAYNE BLVD
-----------------------------------------------------
City | NORTH MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33181-2522
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-892-2020
-----------------------------------------------------
Fax | 786-636-8662
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 13780 SW 26TH ST
-----------------------------------------------------
City | MIRAMAR
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33027-3959
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-892-2020
-----------------------------------------------------
Fax | 786-636-8662
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 156FX1800X
-----------------------------------------------------
Taxonomy Name | Optician
-----------------------------------------------------
License Number | DA9149
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------