Dr. Jorge a. Benavente Optometrist PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DR. JORGE A. BENAVENTE OPTOMETRIST PC

Practice address

9175 Calumet Avenue
Munster, IN 46321-2805

Phone

(219) 836-7800

Fax

(219) 836-4806

NPI assigned

Nov 18, 2009

Last updated

Feb 28, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jorge Adame Benavente, ODNPI 1952409583

Title

President

Phone

(219) 836-7800

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL, IN3 enrollments

Enrollment records 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jorge A Benavente, OPTOMETRIST PC

  • Optometrist
  • Munster, IN
  • NPI 1952409583

  IL

  Medicare reassignment NPD Authorized official
• Suzanna Elena Acosta, OD

  • Optometrist
  • Munster, IN
  • NPI 1871006338

  IL

  Medicare reassignment NPD
• Bessie Anthony, O.D.

  • Optometrist
  • Oak Lawn, IL
  • NPI 1558538447
  Medicare reassignment NPD
• Selma Hannoun, O.D.

  • Optometrist
  • Bedford Park, IL
  • NPI 1508053224
  Medicare reassignment NPD
• Kyle Daniel Snyder, O.D.

  • Optometrist
  • Richton Park, IL
  • NPI 1073863965
  Medicare reassignment NPD
• Veronica Ralick, O.D.

  • Optometrist
  • Merrillville, IN
  • NPI 1285622639
  NPD (past)

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740700800000",
    "number": "1063740744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9175 CALUMET AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212805",
            "telephone_number": "219-836-7800",
            "fax_number": "219-836-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9175 CALUMET AVENUE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212805",
            "telephone_number": "219-836-7800",
            "fax_number": "219-836-4806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JORGE A. BENAVENTE OPTOMETRIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-18",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A",
        "authorized_official_last_name": "BENAVENTE",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "ADAME",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-836-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201033420A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Munster, IN
• Providers in Munster, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.