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General NPI Number Information
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NPI Number | 1790784155
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Entity Type | Individual
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Provider Name | BENNETT SANFORD ROMANOFF M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/19/2005
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Last Update Date | 02/18/2026
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Provider Practice Location Address
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Address Line | 1727 W FRYE RD STE 202
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City | CHANDLER
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State | AZ
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Zip | 85224-5298
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Country | US
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Telephone | 480-821-1800
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Fax |
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Provider Business Mailing Address
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Address Line | 1727 W FRYE RD STE 202
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City | CHANDLER
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State | AZ
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Zip | 85224-5298
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Country | US
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Telephone | 480-821-1800
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Fax |
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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 | 347870
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 62765
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 037662
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 70049366
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License Number State | WA
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