Active NPI
Patricia C. Benjamin, O.D.
- Optometrist
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- R-102-TA-098
- Practice address
- 2019 Highland Ave S
Birmingham, AL 35205-3801 - Phone
- (205) 328-2020
- Fax
- (205) 918-9096
- NPI assigned
- Feb 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | R-102-TA-098 | AL | Primary |
Addresses
Primary practice location
2019 Highland Ave S
Birmingham, AL 35205-3801
Mailing address
8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000058546 | Medicaid | AL | |
| R102-TA-098 | Other | AL | AL BOARD OF OPTOMETRY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050315000427 | AL | Practitioner - Optometry | 3072568898 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Alabama, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Alabama LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Alabama LLC | Optometrist | Current | Accepting new patients |
| Schaeffer Eye Center Inc | Past | Accepting new patients |
Locations
2019 Highland Ave S
Birmingham, AL 35205
Phone (205) 328-2020
3431 Colonnade Pkwy
Ste 100
Birmingham, AL 35243
Phone (205) 967-2020
195 Highway 304
Calera, AL 35040
Phone (205) 668-7920
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
Interoperability endpoints
- pbenjamin007373@myeyedr.emadirect.md
Organizations & group practices 4
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.
-
- Optometrist
- Birmingham, AL
- NPI 1942710728
-
- Optometrist
- Cullman, AL
- NPI 1104488055
-
- Eyewear Supplier
- Birmingham, AL
- NPI 1568612430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715126400000",
"number": "1073588869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8614 WESTWOOD CENTER DR FL 9",
"city": "VIENNA",
"state": "VA",
"postal_code": "221822442",
"telephone_number": "703-847-8899",
"fax_number": "866-795-4020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2019 HIGHLAND AVE S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352053801",
"telephone_number": "205-328-2020",
"fax_number": "205-918-9096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENJAMIN",
"first_name": "PATRICIA",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-23",
"last_updated": "2024-05-08",
"certification_date": "2024-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AL",
"license": "R-102-TA-098",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000058546",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AL BOARD OF OPTOMETRY",
"identifier": "R102-TA-098",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.