Benjamin Dean Colston, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

9224TG Issued in TX

Practice address

3150 East Broad Street
Suite 120
Mansfield, TX 76063

Phone

(817) 477-6363

NPI assigned

Jul 6, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20736/brand/1/csg/1/fhir/r4

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.

• Colston Eye Care, PLLC

  dba Eyes on Broad

  • Optometrist
  • Mansfield, TX
  • NPI 1992271480
  Medicare reassignment NPD Authorized official
• Eyes on Rufe Snow PLLC

  • Optometrist
  • North Richland Hills, TX
  • NPI 1013669498
  Medicare reassignment NPD Authorized official
• Paul J Rea, O.D., P.C.

  • Corneal and Contact Management Optometrist
  • North Richland Hills, TX
  • NPI 1003060690
  NPD

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

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556236800000",
    "number": "1083135404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 EAST BROAD STREET SUITE 120",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "76063",
            "telephone_number": "817-477-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 EAST BROAD STREET",
            "address_2": "SUITE 120",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "76063",
            "telephone_number": "817-477-6363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6446 Lbj Fwy",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752406407",
            "country_code": "US",
            "telephone_number": "972-960-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "670 E Southlake Blvd",
            "address_purpose": "LOCATION",
            "city": "Southlake",
            "state": "TX",
            "postal_code": "760926236",
            "country_code": "US",
            "telephone_number": "817-329-6466",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11888 Marsh Ln Ste 414",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752348083",
            "country_code": "US",
            "telephone_number": "972-960-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLSTON",
        "first_name": "BENJAMIN",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-06",
        "last_updated": "2019-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9224T",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "9224T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9224TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Renee Collini, MD
• Collins Counseling Services LMSW PLLC
• John Murphy Collins Jr.
• Jolynda Collins
• Colston Eye Care, PLLC (Eyes on Broad)
• Command the Land Ventures LLC- Texas Premier Prenatal Protected Series (Texas Premier Prenatal)
• Communication Is Key, PLLC
• Community Care Medical Clinics Inc
• Community Support Services
• Compassion Community Residence LLC

• Optometrist in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; 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.