DR. NICHOLAS G BENNETT M.D.
NPI 1619293727
Ophthalmology in South Lake Tahoe, CA

Q: What is Nicholas Bennett's NPI number?

The NPI number for Nicholas Bennett is 1619293727. It was assigned to this individual provider in the NPPES registry on April 14, 2010.

Q: What is Nicholas Bennett's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Bennett was last updated on April 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 14, 2010

3250 MARLETTE CIRCLE, SOUTH LAKE TAHOE, CA 96156(530) 542-0480 Get Directions Write a Review

NPPES record last updated: April 14, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Nicholas G Bennett M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NICHOLAS G BENNETT M.D. (NPI 1619293727) is an individual ophthalmology provider in South Lake Tahoe, California, licensed in California (ATE20131) and active in the NPI registry since April 2010.

NPPES Registry Identity

NPI1619293727

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. NICHOLAS G BENNETTCredential: M.D.

Location Address3250 MARLETTE CIRCLESouth Lake Tahoe, CA 96156

Mailing AddressP.o. Box 173, 3250 Marlette CircleSouth Lake Tahoe, CA 96156 · (530) 542-0480

Phone(530) 542-0480

Sole ProprietorNo

Enumeration DateApril 14, 2010

✔ NPI 1619293727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in CA · ATE20131

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

3250 MARLETTE CIRCLE, South Lake Tahoe, CA 96156

Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas Bennett's NPI number?

The NPI number for Nicholas Bennett is 1619293727. It was assigned to this individual provider in the NPPES registry on April 14, 2010.

Where is Nicholas Bennett located?

Nicholas Bennett practices at 3250 Marlette Circle, South Lake Tahoe, CA 96156. The listed phone number is (530) 542-0480.

What is Nicholas Bennett's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

When was this NPI record last updated?

The NPPES record for Nicholas Bennett was last updated on April 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.