Bincy Benjamin, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV008542 Issued in NY

Practice address

971 Main St
Suite D
Holbrook, NY 11741-1609

Phone

(631) 471-0600

NPI assigned

Feb 10, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Bincy Thomas Other name

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1486684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486684800000",
    "number": "1104364058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 MARCUS AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110403423",
            "telephone_number": "516-967-7110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 MAIN ST",
            "address_2": "SUITE D",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117411609",
            "telephone_number": "631-471-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "BINCY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-10",
        "last_updated": "2017-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BINCY",
            "last_name": "THOMAS",
            "prefix": "MRS.",
            "credential": "O.D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gina Ann Barone
• Kenneth R. Barry, P.A.
• Erika Lynne Bauernfeind
• Barbara Ellen Bedford, LMSW
• Nicholas George Bello, D.M.D.
• Melissa Marie Bennett, L.M.H.C.
• Lynn Denise Bergman, O.T.R.
• Roger Berkley, P.T.
• Diane Sanchez Bianco, LCSW
• Barbara Bitzer, PT

• All providers in Holbrook, NY
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; 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.

Verify at the official NPI Registry.