Active NPI
Benefield Eye Care, PC
- Specialist
- Gulfport, MS
National Provider Identifier
1104879196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 012410
- Legal business name
- BENEFIELD EYE CARE, PC
- Practice address
- 11240 Highway 49
Ste 300
Gulfport, MS 39503-4151 - Phone
- (228) 328-0972
- Fax
- (228) 328-0975
- NPI assigned
- May 18, 2006
- Last updated
- Mar 7, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donald W Benefield, MD
- Title
- President
- Phone
- (228) 328-0972
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 012410 | MS | Primary |
Addresses
Primary practice location
11240 Highway 49
Ste 300
Gulfport, MS 39503-4151
Mailing address
11240 Highway 49
Ste 300
Gulfport, MS 39503-4151
Phone (228) 328-0972
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
14225 Dedeaux Rd
Gulfport, MS 39503
Phone (228) 328-0972
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Specialist
- Gulfport, MS
- NPI 1386636694
-
- Family Nurse Practitioner
- Gulfport, MS
- NPI 1881293371
-
- Optometrist
- Gulfport, MS
- NPI 1083660757
-
- Ophthalmology Physician
- Biloxi, MS
- NPI 1992145361
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204848000000",
"number": "1104879196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11240 HIGHWAY 49",
"address_2": "STE 300",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395034151",
"telephone_number": "228-328-0972",
"fax_number": "228-328-0975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11240 HIGHWAY 49",
"address_2": "STE 300",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395034151",
"telephone_number": "228-328-0972",
"fax_number": "228-328-0975"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BENEFIELD EYE CARE, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-18",
"last_updated": "2008-03-07",
"status": "A",
"authorized_official_last_name": "BENEFIELD",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "228-328-0972",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "MS",
"license": "012410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gulfport, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.