Benjamin Raphael Strake, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

5290 Issued in MA

Practice address

20 Central Ave
Lynn, MA 01901-1201

Phone

(781) 595-1350

NPI assigned

May 22, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

New England College of Optometry, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Manet Community Health Center, Inc.Group PAC ID 4486555158, 52 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/4368/brand/1/csg/1/fhir/r4
• Direct secure messaging: benjamin.strake.1@4368.direct.athenahealth.com

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.

• Manet Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • North Quincy, MA
  • NPI 1114027539
  Medicare reassignment Care Compare group NPD
• Manet Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Taunton, MA
  • NPI 1063123271
  NPD
• Lynn Community Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lynn, MA
  • NPI 1013997691
  NPD (past)
• Manet Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Quincy, MA
  • NPI 1891731956
  NPD (past)

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1073004347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CENTRAL AVE",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011201",
            "telephone_number": "781-595-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CENTRAL AVE",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011201",
            "telephone_number": "781-595-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAKE",
        "first_name": "BENJAMIN",
        "middle_name": "RAPHAEL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-22",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Mather Stephens
• Sarah Elizabeth Haunani Stephens, PA-C
• Lori Stevens, RN
• Alan Stortz, LMHC, CADAC II
• Elizabeth Hope Strager, FNP
• Cassidy O'Toole Stranahan
• Tara L Strandwitz, PA-C
• Hailey Streble
• Joelle M Streich, RN
• Stuart G Merle & Alan Zicherman PC

• Optometrist in Lynn, MA
• Providers in Lynn, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.