Alex J Benner, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

002518 Issued in IA

Practice address

210 S 17TH St
Blair, NE 68008-2055

Phone

(402) 426-2119

Fax

(402) 426-2120

NPI assigned

Jul 8, 2011

Last updated

Oct 18, 2023By the provider in NPPES

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 IA, NE2 enrollments

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 2

Specialty

Optometry

Education

Indiana University - School of Optometry, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vision Care Clinic PCGroup PAC ID 8325931223, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.73 of 100Reported as individual

Quality

87.47

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alex.benner@direct.revolutionehr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vision Care Clinic PC

  • Optometrist
  • Denison, IA
  • NPI 1083668206
  Medicare reassignment Care Compare group NPD
• Vision Care Clinic PC

  • Optometrist
  • Blair, NE
  • NPI 1588849848
  Medicare reassignment
• Vision Care Clinic, P.C.

  • Optometrist
  • Sioux City, IA
  • NPI 1023426533
  NPD
• Vision Care Clinic PC

  • Optometrist
  • Moville, IA
  • NPI 1215210737
  NPD (past)
• Vision Care Clinic PC

  • Optometrist
  • Manning, IA
  • NPI 1437104353
  NPD (past)
• Vision Care Clinic PC

  • Optometrist
  • Onawa, IA
  • NPI 1912951997
  NPD (past)
• Vision Care Clinic, P.C.

  • Optometrist
  • Council Bluffs, IA
  • NPI 1144657354
  NPD (past)

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1083901219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N MAIN ST",
            "address_2": "BOX 399",
            "city": "DENISON",
            "state": "IA",
            "postal_code": "514421373",
            "telephone_number": "712-263-2020",
            "fax_number": "712-263-4053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S 17TH ST",
            "city": "BLAIR",
            "state": "NE",
            "postal_code": "680082055",
            "telephone_number": "402-426-2119",
            "fax_number": "402-426-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNER",
        "first_name": "ALEX",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-08",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "002518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Baumberger, M.D.
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• Rose Belfrage
• Halie Bemister
• Christopher Craig Berggren, PLMHP #14754
• Steven Paul Blaha, D.D.S.
• Blair Al Operations LLC
• Blair Chiropractic Centre, LLC
• Blair Eye Associates, LLC

• Optometrist in Blair, NE
• Providers in Blair, NE by specialty
• Optometrist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.