Benjamin Hanbok NA, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

11709TPL Issued in CA

Practice address

3191 Crow Canyon PL
Suite C
San Ramon, CA 94583-1349

Phone

(925) 244-1400

Fax

(925) 244-1414

NPI assigned

Jun 12, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Hanbok Benjamin NA Professional name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cassandra Laing Chow, OD

  • Optometrist
  • San Francisco, CA
  • NPI 1184398190
  Medicare reassignment
• Kelli Kawai, OD

  • Optometrist
  • Dublin, CA
  • NPI 1528497567
  Medicare reassignment
• Anna Luo, OD

  • Optometrist
  • San Ramon, CA
  • NPI 1154934552
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372118400000",
    "number": "1063454130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3191 CROW CANYON PL",
            "address_2": "SUITE C",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831349",
            "telephone_number": "925-244-1400",
            "fax_number": "925-244-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3191 CROW CANYON PL",
            "address_2": "SUITE C",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831349",
            "telephone_number": "925-244-1400",
            "fax_number": "925-244-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NA",
        "first_name": "BENJAMIN",
        "middle_name": "HANBOK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2013-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11709TPL",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0117090",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANBOK",
            "last_name": "NA",
            "middle_name": "BENJAMIN",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Mark Peter Musco, M.D.
• Cathryn M Muzaffar
• Karl Joseph Muzikar, D.D.S.
• My Partner Doc Inc.
• Chloe Myers
• Grace Brady Nabas, RN
• Ima Nabiuny, M.D.
• Rana Naderi, DDS
• Ramitha Nagarajan
• Harpreet Nagra

• Optometrist in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.