Active NPI
James David Benning, OD
- Optometrist
- Richardson, TX
National Provider Identifier
1104966613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3265
- Practice address
- 1384 E Belt Line Rd
Richardson, TX 75081-3709 - Phone
- (972) 231-3622
- Fax
- (972) 238-8302
- NPI assigned
- Feb 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 3265 | TX | Primary |
Addresses
Primary practice location
1384 E Belt Line Rd
Richardson, TX 75081-3709
Mailing address
5408 Creek Arbor CT
Dallas, TX 75287-7504
Phone (972) 231-3622
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3265 | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Slak Vision Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Eyewear Supplier
- Richardson, TX
- NPI 1730840190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104966613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5408 CREEK ARBOR CT",
"city": "DALLAS",
"state": "TX",
"postal_code": "752877504",
"telephone_number": "972-231-3622",
"fax_number": "972-238-8302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1384 E BELT LINE RD",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750813709",
"telephone_number": "972-231-3622",
"fax_number": "972-238-8302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNING",
"first_name": "JAMES",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "3265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.