Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kevin L Benham, 10665TGOD

Individual provider Optometrist · NPI 1336479724

Kevin L Benham, 10665TGOD is an Optometrist in College Station, Texas. Licensed in Texas. Registered with an NPI since 2010.

Licensed in
TX
In the registry since
2010
Specialties on file
7
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Practice location Address checks out

4321 State Highway 6
College Station, TX 77845
Phone: (979) 321-6565
Fax: (979) 321-6566
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 10665TG (TX)
Optometrist Taxonomy 152W00000X · Licence 7932TG (TX)
Corneal and Contact Management Optometrist Taxonomy 152WC0802X · Licence 7392TG (TX)
Low Vision Rehabilitation Optometrist Taxonomy 152WL0500X · Licence 7392TG (TX)
Pediatric Optometrist Taxonomy 152WP0200X · Licence 7392TG (TX)
Sports Vision Optometrist Taxonomy 152WS0006X · Licence 7392TG (TX)
Vision Therapy Optometrist Taxonomy 152WV0400X · Licence 7392TG (TX)

Record details

NPI number1336479724
Entity typeIndividual (Type 1)
GenderMale
Credentials 10665TGOD
Sole proprietorNo
NPI enumeratedJanuary 6, 2010
Last updated in NPPESJuly 29, 2022
Certification dateJuly 29, 2022

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