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General NPI Number Information
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NPI Number | 1457301442
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Entity Type | Individual
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Provider Name | BENJAMIN L MASON M.D..
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Gender | Male
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 02/15/2018
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Provider Practice Location Address
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Address Line | 999 HOME PLZ
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City | WATERLOO
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State | IA
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Zip | 50701-4822
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Country | US
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Telephone | 319-287-5890
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Fax | 319-287-5079
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Provider Business Mailing Address
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Address Line | 309 E CHURCH ST
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City | MARSHALLTOWN
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State | IA
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Zip | 50158-2946
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Country | US
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Telephone | 641-754-6200
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Fax | 641-752-7420
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 36579
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 207WX0009X
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Taxonomy Name | Glaucoma Specialist (Ophthalmology) Physician
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License Number | 36579
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License Number State | IA
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