Active NPI
Eugene George Benedict, OD
- Optometrist
- Buchanan, MI
National Provider Identifier
1003848433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901002243
- Practice address
- 802 E Front St
Suite 2
Buchanan, MI 49107-1499 - Phone
- (269) 695-9011
- Fax
- (269) 695-2251
- NPI assigned
- Jul 7, 2006
- Last updated
- Jan 14, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901002243 | MI | Primary |
| Optometrist | 152W00000X | 18001440A | IN |
Addresses
Primary practice location
802 E Front St
Suite 2
Buchanan, MI 49107-1499
Mailing address
802 E Front St
Suite 2
Buchanan, MI 49107-1499
Phone (269) 695-9011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18001440A | IN | MD | Optometrist |
| 4901002243 | MI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Vision Center Inc. | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Buchanan, MI
- NPI 1003368713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358121600000",
"number": "1003848433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "802 E FRONT ST",
"address_2": "SUITE 2",
"city": "BUCHANAN",
"state": "MI",
"postal_code": "491071499",
"telephone_number": "269-695-9011",
"fax_number": "269-695-2251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 E FRONT ST",
"address_2": "SUITE 2",
"city": "BUCHANAN",
"state": "MI",
"postal_code": "491071499",
"telephone_number": "269-695-9011",
"fax_number": "269-695-2251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENEDICT",
"first_name": "EUGENE",
"middle_name": "GEORGE",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2013-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901002243",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18001440A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buchanan, MI
- Ams Coaching and Consulting
- Ams Coaching and Consulting (Bloom Therapy Group)
- Joyce Gail Bayma-Jilek, D.D.S.
- Beacon Medical Group, Inc. (Beacon Medical Group- Buchanan)
- Corina Sue Beechler, LMT
- John Michael Berecz, PH.D.
- Stephanie A Blaylock
- Sharon M Bradley, RN
- Harold E Brown, M.D.
- Buchanan Al Operator LLC (Buchanan Meadows)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.