Optometrist
DHP RETAIL ENTITY, LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1285199562 · enumerated 2019-01-31 · record updated 2019-01-31. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: JACKIE BENNETT, Credentialing Manager · (561) 433-6009
Other names: MY EYE LAB
Addresses and phones
- Mailing address 431 PREAKNESS WAY, BOWLING GREEN, KY, 42104-8563 Google Maps Apple Maps OpenStreetMap
- Practice location 1680 CAMPBELL LN STE 104, BOWLING GREEN, KY, 42104-1062 (561) 275-2020 Google Maps Apple Maps OpenStreetMap
Specialties
- Optometrist 152W00000X · Primary
In this directory
Locations and evidence
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Practice location
BOWLING GREEN, KY, 421041062
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.