Active NPI
William L Benedict, M.D.
- Retina Specialist (Ophthalmology) Physician
- Longmont, CO
National Provider Identifier
1063598548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Retina Specialist (Ophthalmology) Physician
- License
- 32437
- Practice address
- 1400 Dry Creek Dr
Longmont, CO 80503-6505 - Phone
- (303) 772-3300
- Fax
- (303) 682-3380
- NPI assigned
- Oct 27, 2006
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 32437 | CO | |
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | 32437 | CO | Primary |
Addresses
Primary practice location
1400 Dry Creek Dr
Longmont, CO 80503-6505
Mailing address
1400 Dry Creek Dr
Longmont, CO 80503-6499
Phone (303) 772-3300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01324375 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Care Center of Northern Colorado, PC | Ophthalmology | Current | Accepting new patients |
Locations
1400 Dry Creek Dr
Longmont, CO 80503
Phone (303) 682-3383
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 and National Provider Directory roles.
-
- Ophthalmology Physician
- Longmont, CO
- NPI 1740314483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525910400000",
"number": "1063598548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 DRY CREEK DR",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805036499",
"telephone_number": "303-772-3300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 DRY CREEK DR",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805036505",
"telephone_number": "303-772-3300",
"fax_number": "303-682-3380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENEDICT",
"first_name": "WILLIAM",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-27",
"last_updated": "2018-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CO",
"license": "32437",
"primary": false
},
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "CO",
"license": "32437",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01324375",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.