Jamie Archer Bennett, OD,PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1189 Issued in OK

Legal business name

JAMIE ARCHER BENNETT, OD,PC

Practice address

401 East Silas St.
Bartlesville, OK 74003-3611

Phone

(918) 336-4068

Fax

(918) 336-4084

NPI assigned

Jun 23, 2006

Organization subpart

No

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

Authorized official

Name

Jamie Archer Bennett, O.D.NPI 1083800080

Title

Owner/Optometrist

Phone

(918) 336-4068

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 1

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.

• Jamie A. Bennett, O.D.

  • Optometrist
  • Bartlesville, OK
  • NPI 1083800080
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1114953197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 EAST SILAS ST.",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740033611",
            "telephone_number": "918-336-4068",
            "fax_number": "918-336-4084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 EAST SILAS ST.",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740033611",
            "telephone_number": "918-336-4068",
            "fax_number": "918-336-4084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMIE ARCHER BENNETT, OD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "ARCHER",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "918-336-4068",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "1189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Tyrell Ivey
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• Ealachelvi Janarthanan, DDS
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• Jane Phillips Memorial Medical Center Inc (JPMMC, Inc. ER Physicians)
• Jane Phillips Memorial Medical Center, Inc

• Optometrist in Bartlesville, OK
• Providers in Bartlesville, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; 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.

Verify at the official NPI Registry.